1 Medical Policy Non-oncologic Imaging of the Abdomen and Pelvis Table of Contents • Policy: Commercial • Coding Information • Information Pertaining to All Policies • Authorization Information • Policy History • References • Endnotes Policy Number: 961 BCBSA Reference Number: N/A NCD/LCD: N/A Related Policies • Medicare Advantage: High-Technology Radiology and Sleep Disorder Management Clinical and Utilization Guidance Redirect, #923 • AIM High Technology Radiology Management Program CPT and HCPCS Codes, #900 • Oncologic Imaging, #960 • Non-oncologic Imaging of the Brain, #962 • Non-oncologic Imaging of the Chest, #963 • Non-oncologic Imaging of the Extremities, #964 • Non-oncologic Imaging of the Head and Neck, #965 • Non-oncologic Imaging of the Spine, #966 • Non-oncologic Vascular Imaging, #967 Policy 1 Commercial Members: Managed Care (HMO and POS), PPO, EPO and Indemnity General Abdominal and Pelvic Indications Congenital and developmental conditions Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY ADULT • CT or MRI abdomen and/or pelvis PEDIATRIC • Ultrasound required for initial evaluation of hepatobiliary and genitourinary anomalies • Ultrasound recommended for initial evaluation of pancreatic anomalies • CT or MRI abdomen and/or pelvis when additional imaging is needed to guide treatment
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1
Medical Policy Non-oncologic Imaging of the Abdomen and Pelvis
Table of Contents • Policy: Commercial • Coding Information • Information Pertaining to All Policies
• Authorization Information • Policy History • References • Endnotes
Related Policies • Medicare Advantage: High-Technology Radiology and Sleep Disorder Management Clinical
and Utilization Guidance Redirect, #923
• AIM High Technology Radiology Management Program CPT and HCPCS Codes, #900
• Oncologic Imaging, #960
• Non-oncologic Imaging of the Brain, #962
• Non-oncologic Imaging of the Chest, #963
• Non-oncologic Imaging of the Extremities, #964
• Non-oncologic Imaging of the Head and Neck, #965
• Non-oncologic Imaging of the Spine, #966
• Non-oncologic Vascular Imaging, #967
Policy1
Commercial Members: Managed Care (HMO and POS), PPO, EPO and Indemnity
General Abdominal and Pelvic Indications Congenital and developmental conditions Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY ADULT
• CT or MRI abdomen and/or pelvis PEDIATRIC
• Ultrasound required for initial evaluation of hepatobiliary and genitourinary anomalies
• Ultrasound recommended for initial evaluation of pancreatic anomalies
• CT or MRI abdomen and/or pelvis when additional imaging is needed to guide treatment
• MRI preferred for evaluation of uterine anomalies
• MRCP preferred for evaluation of biliary and pancreatic duct anomalies Note: The following conditions do not require advanced imaging:
• Accessory spleen
• Biliary atresia
• Hirschsprung’s disease
• Jejunal or ileal stenosis
• Meckel’s diverticulum
• Pyloric stenosis
• Small left colon Infectious and inflammatory conditions – not otherwise referenced Advanced imaging is considered MEDICALLY NECESSARY when the results of imaging will impact management. IMAGING STUDY
• CT or MRI abdomen and/or pelvis Trauma Advanced imaging is considered MEDICALLY NECESSARY when the results of imaging will impact management. IMAGING STUDY
• CT abdomen and/or pelvis
• MRI when CT contraindicated Tumor or neoplasm – not otherwise referenced For management of documented malignancy, see Oncologic Imaging guidelines. Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Evaluation of palpable abdominal or pelvic masses of indeterminate origin
• Characterization of indeterminate lesions arising in the solid abdominal viscera and surrounding anatomic structures
IMAGING STUDY ADULT
• Ultrasound required for initial evaluation of a palpable pelvic mass in women
• CT abdomen and/or pelvis for all other scenarios, or following nondiagnostic pelvic ultrasound
• MRI abdomen for further characterization of abdominal mass seen on prior imaging, including CT scan
PEDIATRIC
• Ultrasound required for initial evaluation of a palpable pelvic mass
• Ultrasound recommended for initial evaluation of an abdominal mass
• CT or MRI abdomen and/or pelvis for initial evaluation of a palpable abdominal mass, or following nondiagnostic ultrasound
Female Reproductive System and Obstetrics Adenomyosis
Advanced imaging is considered MEDICALLY NECESSARY following pelvic ultrasound, when further imaging is required to direct management. IMAGING STUDY
• MRI pelvis Adnexal mass Advanced imaging is considered MEDICALLY NECESSARY following pelvic ultrasound when further imaging is required to direct management. IMAGING STUDY
• MRI pelvis Endometriosis Advanced imaging is considered MEDICALLY NECESSARY following pelvic ultrasound, when further imaging is required to direct management. IMAGING STUDY
• MRI pelvis Obstetric indications Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management of ANY of the following:
• Fetal anomalies
• Assessment prior to fetal intervention
• Placental complications
• Complications related to monochorionic twins
• Pelvimetry
• Other obstetrical complications IMAGING STUDY
• Ultrasound is required for initial evaluation of fetal and placental conditions
• Fetal MRI for indications involving the fetus or placenta, following nondiagnostic ultrasound
• MRI pelvis for pelvimetry or other obstetrical complications Uterine artery embolization procedures Advanced imaging is considered MEDICALLY NECESSARY for evaluation related to a uterine artery embolization procedure when the results of imaging will impact management. IMAGING STUDY
• MRI pelvis
Gastrointestinal Conditions Appendicitis Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Pregnant women o Ultrasound required for initial evaluation o MRI abdomen and pelvis when ultrasound is nondiagnostic o CT abdomen and pelvis when ultrasound is nondiagnostic and MRI is contraindicated or
unavailable
• Pediatric patients o Ultrasound recommended for initial evaluation o CT or MRI abdomen and/or pelvis when ultrasound is unavailable or is expected to be limited
due to body habitus Bowel obstruction Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY
• Radiographs required for initial evaluation in pediatric patients
• CT abdomen and/or pelvis when additional imaging is needed to guide treatment
• MRI abdomen and pelvis in pediatric patients only Constipation (Pediatric only) Advanced imaging is considered MEDICALLY NECESSARY for evaluation of symptoms persisting 2 or more weeks when ANY of the following are present:
• Failure of medical management
• Failure to thrive
• Fever
• Vomiting
• Following barium enema or anal manometry when there is suspicion for ANY of the following: o Anal stenosis o Impaction in patients younger than 1 year of age o Tight empty rectum
IMAGING STUDY
• Radiographs required for initial evaluation
• CT or MRI abdomen and/or pelvis Diverticulitis Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact management. IMAGING STUDY
• CT abdomen and/or pelvis Enteritis and colitis Includes neutropenic colitis and radiation enteritis, and excludes inflammatory bowel disease. Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact management.
• CT abdomen and/or pelvis Foreign body (Pediatric only) Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic radiograph and high clinical suspicion of ingested foreign body. IMAGING STUDY
• CT abdomen and/or pelvis
• MRI when CT contraindicated Gastrointestinal bleeding (Pediatric only) Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic endoscopy, colonoscopy, or upper/lower gastrointestinal series when the results of imaging are essential to establish a diagnosis and/or direct management. IMAGING STUDY
• CT abdomen and/or pelvis
• MRI when CT contraindicated Henoch-Schonlein purpura (Pediatric only) Advanced imaging is considered medically necessary for diagnosis and management when the results of imaging will impact management. IMAGING STUDY
• CT abdomen and/or pelvis Inflammatory bowel disease Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Diagnosis of suspected Crohn’s disease following nondiagnostic upper and lower endoscopy
• Management of new or worsening symptoms to confirm exacerbation or evaluate for complications, including stricture, abscess, or fistula
IMAGING STUDY
• CT or MRI abdomen and/or pelvis Intussusception (Pediatric only) Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Following nondiagnostic ultrasound
• Following intussusception reduction IMAGING STUDY
• CT abdomen and/or pelvis
• MRI when CT contraindicated Ischemic bowel Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment.
• MRI when CT contraindicated Note: Radiographs are preferred for necrotizing enterocolitis.
Hepatobiliary Conditions Ascites Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and surveillance following nondiagnostic ultrasound. IMAGING STUDY
• CT abdomen and pelvis
• MRI for pediatric patients only Biliary tract dilatation or obstruction Advanced imaging is considered MEDICALLY NECESSARY in patients with unexplained biliary tract dilation, biochemical evidence of biliary obstruction, and/or unexplained right upper quadrant pain when the results of imaging are essential to establish a diagnosis and/or direct management. IMAGING STUDY
• MRCP Cholecystitis Advanced imaging is considered MEDICALLY NECESSARY in the following scenario:
• Suspected complications of acute cholecystitis including perforation, abscess, gangrenous or hemorrhagic cholecystitis, gallstone ileus, and Mirizzi’s syndrome
IMAGING STUDY
• Ultrasound required for initial evaluation in pediatric patients
• CT abdomen
• MRI abdomen for pediatric patients only when ultrasound is nondiagnostic Note: Advanced imaging not recommended for evaluation of acute uncomplicated cholecystitis. Choledocholithiasis Advanced imaging is considered MEDICALLY NECESSARY when the diagnosis is suspected following cholecystectomy. IMAGING STUDY
• MRCP Diffuse liver disease Includes chronic hepatitis, cirrhosis, glycogen storage diseases, hemochromatosis, and Wilson’s disease Advanced imaging is considered medically necessary in ANY of the following scenarios:
• Evaluation of suspected liver disease based on clinical findings or abnormal liver function tests when ultrasound is nondiagnostic and further evaluation is required
• Suspected hepatocellular carcinoma in persons with known cirrhosis
• Evaluation for iron overload in hemochromatosis when chelation therapy or phlebotomy is being considered
IMAGING STUDY
• CT abdomen for ANY of the following: o Suspected liver disease o Suspected hepatocellular carcinoma o Iron overload in hemochromatosis when MRI contraindicated
• MRI abdomen for evaluation of hemochromatosis Focal liver lesion ADULT Advanced imaging is considered MEDICALLY NECESSARY in ANY of the following scenarios:
• Indeterminate lesions (not biopsied and not fully characterized by prior imaging) o Initial evaluation of an indeterminate lesion identified on prior imaging when ANY of the following
high-risk features are present: ▪ Size > 1 cm in diameter ▪ Multiple lesions ▪ Known malignancy ▪ Known cirrhosis ▪ Chronic hepatitis ▪ Sclerosing cholangitis ▪ Primary biliary cirrhosis ▪ Hemochromatosis ▪ Hemosiderosis ▪ Oral contraceptive use ▪ Anabolic steroid use
o Follow up or surveillance at 3 to 6 months when any of the above risk factors are present, or when the lesion is enhancing, poorly defined, or increasing in size
• Benign lesions (biopsy-proven or fully characterized by imaging) o Evaluation of symptoms suggesting a change in size or character o Periodic surveillance of known hepatic adenoma
IMAGING STUDY
• CT or MRI abdomen PEDIATRIC Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Suspected malignancy
• Diagnosis or management of a benign neoplasm IMAGING STUDY
• Ultrasound required for evaluation of a benign neoplasm
• CT or MRI abdomen when ultrasound is nondiagnostic or when malignancy is suspected Note: A simple liver cyst with benign characteristics on ultrasound may not require advanced imaging or surveillance. Hepatomegaly Advanced imaging is considered MEDICALLY NECESSARY for clinically suspected or worsening hepatic enlargement when the results of imaging will impact management.
• Ultrasound should be considered for initial evaluation
• CT abdomen
• MRI abdomen only when CT contraindicated PEDIATRIC
• Ultrasound required for initial evaluation
• CT or MRI abdomen when ultrasound is nondiagnostic Jaundice Advanced imaging is considered MEDICALLY NECESSARY for evaluation of unexplained icterus and abnormal liver function testing following nondiagnostic ultrasound. IMAGING STUDY
• CT abdomen
• MRI abdomen for pediatric patients only Primary sclerosing cholangitis Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• MRCP
Osseous Conditions Avascular necrosis Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Diagnosis following negative or inconclusive radiographs
• Preoperative planning for osteonecrosis with femoral head collapse IMAGING STUDY
• MRI pelvis
• CT pelvis when MRI or bone scan not available or contraindicated Axial spondyloarthropathy Advanced imaging is considered MEDICALLY NECESSARY in ANY of the following scenarios:
• Diagnosis of nonradiographic spondyloarthropathy (nrSpA) when BOTH of the following are present: o Radiographs which are negative or equivocal for sacroiliitis (Grade 0-2) o Inflammatory back pain which has been present for at least 3 months. Inflammatory back pain is
defined as back pain with at least FOUR (4) of the following features: ▪ Patient is younger than age 40 ▪ Insidious (gradual) onset ▪ Improvement with exercise ▪ No improvement with rest ▪ Pain at night that improves on getting up
• Baseline imaging prior to therapy when the diagnosis is based on radiographic findings
• Reevaluation in patients who have received at least 3 months of tumor necrosis factor inhibitors without clinical improvement
• MRI pelvis Developmental hip dysplasia (Pediatric only) Advanced imaging is considered MEDICALLY NECESSARY for preoperative planning. IMAGING STUDY
• CT pelvis Osseous tumor Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• CT pelvis
• MRI pelvis for pediatric patients only Note: MRI or radionuclide bone scintigraphy (bone scan) may be more appropriate for detection of skeletal metastases and primary bone tumors. Osteoid osteoma Advanced imaging is considered MEDICALLY NECESSARY following negative or inconclusive hip radiographs. IMAGING STUDY
• CT pelvis Osteomyelitis Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• MRI pelvis
• CT pelvis when MRI or bone scan not available or contraindicated Pelvic fracture Includes sacral insufficiency fracture, stress fracture, and traumatic fracture Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Diagnosis or management of sacral insufficiency fracture
• Diagnosis or management of stress fracture or traumatic fracture following nondiagnostic pelvic or sacral radiographs
IMAGING STUDY
• Radiographs required prior to advanced imaging for fracture indications other than sacral insufficiency fracture
• CT or MRI pelvis following inconclusive radiographs or initial evaluation of sacral insufficiency fracture Sacroiliitis
Advanced imaging is considered MEDICALLY NECESSARY following pelvic or sacral radiographs when further clarification is required to direct treatment. IMAGING STUDY
• CT or MRI pelvis Septic arthritis Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• MRI pelvis
• CT pelvis when MRI or bone scan not available or contraindicated
Pancreatic Indications Pancreatic mass Advanced imaging is considered MEDICALLY NECESSARY when the results of imaging are essential to establish a diagnosis and/or direct management. IMAGING STUDY
• CT abdomen with pancreatic protocol
• MRI abdomen Pancreatic pseudocyst Advanced imaging is considered MEDICALLY NECESSARY in persons with a history of pancreatitis or pancreatic trauma. IMAGING STUDY ADULT
• CT abdomen
• MRI abdomen only when CT contraindicated
• MRCP to determine the relationship between the cyst and pancreatic duct PEDIATRIC
• Ultrasound required for initial evaluation
• CT or MRI abdomen when ultrasound is nondiagnostic
• MRCP to determine the relationship between the cyst and pancreatic duct Note: Ultrasound is recommended for surveillance of known pseudocyst requiring serial evaluation. Pancreatitis Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Evaluation of suspected complications due to acute pancreatitis (see pancreatic pseudocyst)
• Recurrent acute pancreatitis of uncertain etiology, defined as more than 2 attacks of acute pancreatitis without evidence for chronic pancreatitis
Note: Patients with mild acute or uncomplicated pancreatitis usually do not require cross-sectional imaging, aside from ultrasound for identification of gallstones and/or biliary ductal calculi.
• MRI abdomen for pediatric patients only (for adults when CT contraindicated)
• MRCP for recurrent acute pancreatitis to evaluate suspected pancreatic duct anomalies
Renal & Urinary Tract Indications Bladder or urethral diverticula Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• MRI pelvis Hematuria Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• Ultrasound required for initial evaluation in pediatric patients.
• CT abdomen and/or pelvis following nondiagnostic ultrasound (pediatric) or for initial evaluation (adults)
Hydronephrosis Advanced imaging is considered MEDICALLY NECESSARY to evaluate for obstruction following nondiagnostic ultrasound. IMAGING STUDY
• CT abdomen and/or pelvis
• MRI abdomen and pelvis in pediatric patients only
• MRI abdomen and pelvis in adults only when CT contraindicated Nephrocalcinosis Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic ultrasound. IMAGING STUDY
• CT abdomen Polycystic kidney disease Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic ultrasound IMAGING STUDY
• CT or MRI abdomen Pyelonephritis Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Acute pyelonephritis in persons with diabetes, history of renal calculi or renal surgery
• Lack of clinical improvement following 72 hours of antibiotic therapy to evaluate for complications such as abscess or another surgical condition
• Diagnosis or management of xanthogranulomatous pyelonephritis IMAGING STUDY
• CT abdomen
• MRI abdomen when CT contraindicated Renal mass Advanced imaging is considered MEDICALLY NECESSARY in ANY of the following scenarios:
• Suspected malignancy
• Characterization of an indeterminate renal mass identified on prior imaging
• Diagnosis and management of benign renal tumors including angiomyolipoma, multilocular cystic nephroma, and neuroblastomatosis
IMAGING STUDY
• Ultrasound required for initial evaluation of cystic lesions and for management of lesions known to be benign
• CT or MRI abdomen when malignancy is suspected or following nondiagnostic ultrasound Note: Simple cysts with benign characteristics on ultrasound do not require advanced imaging or surveillance. Urinary tract calculi ADULT Advanced imaging is considered MEDICALLY NECESSARY in ANY of the following scenarios:
• Initial evaluation of suspected calculus in patients with no history of nephrolithiasis
• Suspected recurrence when ANY of the following apply: o History of radiolucent calculus o History of radiopaque calculus and atypical presentation o History of radiopaque calculus and typical presentation, following nondiagnostic ultrasound
• Management and follow up of known calculi when ANY of the following apply: o Planned percutaneous nephrolithotomy, ureteroscopy, or shock wave lithotripsy, when CT
has not been performed within the preceding 30 days o Symptomatic patients with known radiolucent calculi o Symptomatic patients with radiopaque calculi, following nondiagnostic KUB or ultrasound o Asymptomatic patients with known radiolucent calculi and persistent hydronephrosis on
ultrasound following shock wave lithotripsy or ureteroscopic stone extraction
• Pregnancy o Diagnosis or management following nondiagnostic ultrasound or KUB
PEDIATRIC Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic ultrasound or kidney, ureter, and bladder radiograph. IMAGING STUDY
• Radiograph or ultrasound required in pregnant women and pediatric patients
• CT abdomen and/or pelvis
Miscellaneous Conditions Adrenal hemorrhage Advanced imaging is considered MEDICALLY NECESSARY following nondiagnostic ultrasound or history of trauma.
• CT or MRI abdomen Adrenal mass Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Evaluation of biochemical evidence suggestive of an adrenal neoplasm
• Characterization of an indeterminate adrenal mass identified on prior imaging IMAGING STUDY
• Ultrasound required for initial evaluation in neonates
• CT or MRI abdomen Hemoperitoneum Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY
• CT abdomen and/or pelvis Hernia Includes femoral, internal, inguinal, Spigelian, ventral, and incisional hernia Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Suspected complications
• Presurgical planning IMAGING STUDY
• Ultrasound required for initial evaluation in pediatric patients
• CT abdomen and/or pelvis
• MRI abdomen and/or pelvis for pediatric patients only (adults when CT contraindicated) Lymphadenopathy Advanced imaging is considered MEDICALLY NECESSARY for detection and periodic follow up when the results of imaging will impact treatment decisions. IMAGING STUDY
• CT abdomen and/or pelvis
• MRI abdomen and/or pelvis when CT is nondiagnostic Note: MRI may be useful to differentiate enlarged lymph nodes from vascular structures following unenhanced CT scan Pelvic floor disorders associated with urinary or bowel incontinence Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY
• MRI pelvis
• Dynamic MRI may be of benefit in some clinical scenarios
Prostate cancer Advanced imaging is considered MEDICALLY NECESSARY for evaluation of suspected prostate cancer in men with a rising prostate-specific antigen and negative transrectal ultrasound biopsy. IMAGING STUDY
• Multiparametric MRI pelvis Retroperitoneal conditions Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management of ANY of the following retroperitoneal conditions:
• Fibrosis
• Inflammation
• Bleeding
• Mass IMAGING STUDY
• CT abdomen and/or pelvis
• MRI abdomen and/or pelvis for pediatric patients only (adults when CT contraindicated) Splenic hematoma Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY
• CT abdomen
• MRI abdomen for pediatric patients only (adults when CT contraindicated) Splenomegaly Advanced imaging is considered MEDICALLY NECESSARY for clinically suspected or worsening splenic enlargement when the results of imaging will impact management. IMAGING STUDY
• Ultrasound required for initial evaluation in pediatric patients
• CT abdomen following nondiagnostic ultrasound (pediatric) or initial evaluation (adult)
• MRI abdomen for pediatric patients only (adults when CT contraindicated) Sports hernia (athletic pubalgia) Advanced imaging is considered MEDICALLY NECESSARY when ALL of the following criteria are met:
• Pain is insidious, progressive, and worsens with Valsalva or movement
• No detectable inguinal or ventral hernia on exam
• Pain has persisted for least 6 weeks
• Radiographs are nondiagnostic
• Symptoms have not improved following at least 6 weeks of conservative therapy
Advanced imaging is considered MEDICALLY NECESSARY for diagnosis and management when the results of imaging will impact treatment. IMAGING STUDY
• Ultrasound required for initial evaluation in pediatric patients
• CT or MRI pelvis may be utilized when additional information is required
Nonspecific Signs and Symptoms Abdominal pain Note: Acute pain is defined as new onset pain within the past 30 days; chronic pain is pain lasting more than 30 days. Recurrent pain refers to 3 or more episodes of pain over a period of 3 or more months. ADULT Advanced imaging is considered MEDICALLY NECESSARY when unexplained by clinical findings, physical examination, or other imaging studies. PEDIATRIC Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Evaluation of chronic or recurrent abdominal pain when ANY of the following red flag signs is present: o Chronic severe diarrhea (at least 3 watery stools per day for more than 2 weeks) o Deceleration of linear growth o Fever of unknown origin o Gastrointestinal bleeding o History of a genetic or congenital syndrome o Immunocompromised o Involuntary weight loss o Persistent focal abdominal pain, especially right upper or right lower quadrant o Persistent vomiting
• Evaluation of acute abdominal pain when pain is unexplained by clinical findings, physical examination, or other imaging studies
IMAGING STUDY
• CT abdomen
• MRI abdomen for pediatric patients only (adults when CT contraindicated) Azotemia Advanced imaging is considered MEDICALLY NECESSARY when progressive and unexplained following nondiagnostic ultrasound. IMAGING STUDY
• Ultrasound required for initial evaluation
• CT abdomen/pelvis following nondiagnostic ultrasound
• MRI when CT contraindicated Lower extremity edema Advanced imaging is considered MEDICALLY NECESSARY for evaluation when diffuse and unexplained. IMAGING STUDY
• Ultrasound recommended for initial evaluation in females
• MRI abdomen and/or pelvis for pediatric patients only (adults only when CT contraindicated) Fever of unknown origin Advanced imaging is considered MEDICALLY NECESSARY in EITHER of the following scenarios:
• Fever of duration greater than 3 weeks which is unexplained following a standard diagnostic evaluation to identify the source
• Unexplained fever in immunocompromised patient IMAGING STUDY
• CT abdomen and/or pelvis Pelvic pain Advanced imaging is considered MEDICALLY NECESSARY when unexplained by clinical findings, physical examination, or other imaging studies. IMAGING STUDY
• Ultrasound required for initial evaluation in females
• CT pelvis
• MRI pelvis for pediatric patients only (adults when CT contraindicated) Weight loss Also see Chest Imaging guidelines. Advanced imaging is considered MEDICALLY NECESSARY for evaluation of unintentional weight loss exceeding 5% of body weight within a 12-month interval in EITHER of the following scenarios:
• Persistence following a negative comprehensive clinical evaluation (including a history and physical examination, age-appropriate cancer screening, chest radiography, and initial laboratory evaluation) after a period of observation
• Abnormal findings suggestive of malignancy on history, physical exam, imaging, or laboratory evaluation
IMAGING STUDY
• CT abdomen and/or pelvis Exclusions The following indications do not generally require advanced imaging. If there are circumstances that require advanced imaging, a peer-to-peer discussion may be required. Cystic liver disease Includes congenital and acquired cysts. Ultrasound is usually sufficient. Failure to thrive Chronic condition that is not typically evaluated with advanced imaging. Gastroenteritis Imaging is not indicated. Hirschsprung’s disease (congenital aganglionosis) Barium enema and radiography are the radiologic modalities of choice.
Hypospadias Voiding cystourethrogram is the modality of choice. Irritable bowel syndrome Irritable bowel syndrome is a clinical diagnosis. If indicated, plain films and fluoroscopy are the imaging modalities of choice. Advanced imaging is not indicated. Jejunal or ileal stenosis Upper gastrointestinal fluoroscopy and radiography are the radiologic modalities of choice. Meckel’s diverticulum or diverticulitis Meckel’s scan is the diagnostic modality of choice. Midgut volvulus Emergent condition, not for outpatient workup. Upper gastrointestinal fluoroscopy and radiography are the diagnostic modalities of choice. Neonatal jaundice: biliary atresia and neonatal hepatitis For cases of biliary atresia or neonatal hepatitis, ultrasound and nuclear scintigraphy are the diagnostic imaging modalities of choice. Piriformis syndrome Advanced imaging is generally not indicated. Posterior urethral valve Voiding cystourethrogram is the modality of choice. Pyloric stenosis Ultrasound and fluoroscopy are the radiologic modalities of choice. Small left colon syndrome Barium enema and radiography are the radiologic modalities of choice. Urinary tract infection See separate indication for pyelonephritis. In infants and children under age 5, ultrasound, voiding cystourethrogram, and renal scan (technetium 99m-dimercaptosuccinic acid), are appropriate, as needed, to diagnose and manage urinary tract infections. In patients age 5 and older, advanced imaging is not indicated in the evaluation of a simple urinary tract infection, but may be indicated when there is concern for complicated pyelonephritis. Vesicoureteral reflux Voiding cystogram, followed by ultrasound, is generally sufficient.
Prior Authorization Information Inpatient
• For services described in this policy, precertification/preauthorization IS REQUIRED for all products if the procedure is performed inpatient.
Outpatient
• For services described in this policy, see below for products where prior authorization might be required if the procedure is performed outpatient.
Outpatient
18
Commercial Managed Care (HMO and POS) Commercial PPO and EPO
The requirements of BCBSMA Radiology Management Program may require prior authorization via AIM Specialty Health. These requirements are member-specific: Please verify member eligibility and requirements through Online Services by logging onto Provider Central. Refer to our Quick Tip for an overview of pre-certification and prior authorization requirements. Ordering clinicians should request pre-certification from AIM Specialty Health or call 1-866-745-1783 (when applicable). Prior authorization information for Medicare HMO Blue and Medicare PPO Blue is addressed in medical policy #923, High Technology Radiology and Sleep Disorder Management for Medicare Advantage Products.
Indemnity Prior authorization is not required.
CPT Codes / HCPCS Codes / ICD Codes Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. Please refer to the member’s contract benefits in effect at the time of service to determine coverage or non-coverage as it applies to an individual member. Providers should report all services using the most up-to-date industry-standard procedure, revenue, and diagnosis codes, including modifiers where applicable. The following codes are included below for informational purposes only; this is not an all-inclusive list. The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT Codes
CPT codes: Code Description
74150 CT abdomen without contrast
74160 CT abdomen with contrast
74170 CT abdomen without contrast, followed by re-imaging with contrast
The following ICD Diagnosis Codes are considered medically necessary when submitted with the CPT codes above if medical necessity criteria are met:
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0 Renovascular hypertension
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified
23
I70.0 Atherosclerosis of aorta
I71.00 Dissection of unspecified site of aorta
I71.01 Dissection of thoracic aorta
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
I71.9 Aortic aneurysm of unspecified site, without rupture
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.8 Aneurysm of other specified arteries
I74.01 Saddle Embolus Of Abdominal Aorta
I74.09 Other Arterial Embolism And Thrombosis Of Abdominal Aorta
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.4 Celiac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.819 Aortic ectasia, unspecified site
I77.89 Other specified disorders of arteries and arterioles
I77.9 Disorder of arteries and arterioles, unspecified
I79.0 Aneurysm of aorta in diseases classified elsewhere
I81 Portal vein thrombosis
I82.0 Budd-Chiari syndrome
I82.290 Acute Embolism And Thrombosis Of Other Thoracic Veins
I82.3 Embolism and thrombosis of renal vein
I82.609 Acute Embolism And Thrombosis Of Unspecified Veins Of Unspecified Upper Extremity
I82.619 Acute Embolism And Thrombosis Of Superficial Veins Of Unspecified Upper Extremity
I82.629 Acute Embolism And Thrombosis Of Deep Veins Of Unspecified Upper Extremity
I82.890 Acute Embolism And Thrombosis Of Other Specified Veins
I82.A19 Acute Embolism And Thrombosis Of Unspecified Axillary Vein
I82.B19 Acute Embolism And Thrombosis Of Unspecified Subclavian Vein
I82.C19 Acute Embolism And Thrombosis Of Unspecified Internal Jugular Vein
I85.00 Esophageal varices without bleeding
I85.01 Esophageal varices with bleeding
I86.2 Pelvic varices
I88.0 Nonspecific mesenteric lymphadenitis
I89.0 Lymphedema, not elsewhere classified
J86.0 Pyothorax with fistula
K21.9 Gastro-esophageal reflux disease without esophagitis
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
T81.49XS Infection following a procedure, other surgical site, sequela
T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter
T81.500D Unspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.500S Unspecified complication of foreign body accidentally left in body following surgical operation, sequela
T81.501A Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.501D Unspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.501S Unspecified complication of foreign body accidentally left in body following infusion or transfusion, sequela
T81.502A Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502D Unspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.502S Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela
T81.503A Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter
T81.503D Unspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.503S Unspecified complication of foreign body accidentally left in body following injection or immunization, sequela
T81.504A Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.504D Unspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.504S Unspecified complication of foreign body accidentally left in body following endoscopic examination, sequela
T81.505A Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter
T81.505D Unspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter
90
T81.505S Unspecified complication of foreign body accidentally left in body following heart catheterization, sequela
T81.506A Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.506D Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.506S Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.507A Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.507D Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.507S Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.508A Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter
T81.508D Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter
T81.508S Unspecified complication of foreign body accidentally left in body following other procedure, sequela
T81.509A Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.509D Unspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.509S Unspecified complication of foreign body accidentally left in body following unspecified procedure, sequela
T81.510A Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter
T81.510D Adhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.510S Adhesions due to foreign body accidentally left in body following surgical operation, sequela
T81.511A Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.511D Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.511S Adhesions due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.512A Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.512D Adhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.512S Adhesions due to foreign body accidentally left in body following kidney dialysis, sequela
T81.513A Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.513D Adhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.513S Adhesions due to foreign body accidentally left in body following injection or immunization, sequela
T81.514A Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.514D Adhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
91
T81.514S Adhesions due to foreign body accidentally left in body following endoscopic examination, sequela
T81.515A Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.515D Adhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.515S Adhesions due to foreign body accidentally left in body following heart catheterization, sequela
T81.516A Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.516D Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.516S Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.517A Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.517D Adhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.517S Adhesions due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.518A Adhesions due to foreign body accidentally left in body following other procedure, initial encounter
T81.518D Adhesions due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.518S Adhesions due to foreign body accidentally left in body following other procedure, sequela
T81.519A Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.519D Adhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.519S Adhesions due to foreign body accidentally left in body following unspecified procedure, sequela
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter
T81.520D Obstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.520S Obstruction due to foreign body accidentally left in body following surgical operation, sequela
T81.521A Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.521D Obstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.521S Obstruction due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.522A Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.522D Obstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.522S Obstruction due to foreign body accidentally left in body following kidney dialysis, sequela
T81.523A Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.523D Obstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter
92
T81.523S Obstruction due to foreign body accidentally left in body following injection or immunization, sequela
T81.524A Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.524D Obstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.524S Obstruction due to foreign body accidentally left in body following endoscopic examination, sequela
T81.525A Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.525D Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.525S Obstruction due to foreign body accidentally left in body following heart catheterization, sequela
T81.526A Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.526D Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.526S Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.527A Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.527D Obstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.527S Obstruction due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.528A Obstruction due to foreign body accidentally left in body following other procedure, initial encounter
T81.528D Obstruction due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.528S Obstruction due to foreign body accidentally left in body following other procedure, sequela
T81.529A Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.529D Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.529S Obstruction due to foreign body accidentally left in body following unspecified procedure, sequela
T81.530A Perforation due to foreign body accidentally left in body following surgical operation, initial encounter
T81.530D Perforation due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.530S Perforation due to foreign body accidentally left in body following surgical operation, sequela
T81.531A Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.531D Perforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.531S Perforation due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.532A Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.532D Perforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
93
T81.532S Perforation due to foreign body accidentally left in body following kidney dialysis, sequela
T81.533A Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.533D Perforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.533S Perforation due to foreign body accidentally left in body following injection or immunization, sequela
T81.534A Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534D Perforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.534S Perforation due to foreign body accidentally left in body following endoscopic examination, sequela
T81.535A Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.535D Perforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.535S Perforation due to foreign body accidentally left in body following heart catheterization, sequela
T81.536A Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.536D Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.536S Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.537A Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.537D Perforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.537S Perforation due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.538A Perforation due to foreign body accidentally left in body following other procedure, initial encounter
T81.538D Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.538S Perforation due to foreign body accidentally left in body following other procedure, sequela
T81.539A Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.539D Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.539S Perforation due to foreign body accidentally left in body following unspecified procedure, sequela
T81.590A Other complications of foreign body accidentally left in body following surgical operation, initial encounter
T81.590D Other complications of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.590S Other complications of foreign body accidentally left in body following surgical operation, sequela
T81.591A Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.591D Other complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
94
T81.591S Other complications of foreign body accidentally left in body following infusion or transfusion, sequela
T81.592A Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.592D Other complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.592S Other complications of foreign body accidentally left in body following kidney dialysis, sequela
T81.593A Other complications of foreign body accidentally left in body following injection or immunization, initial encounter
T81.593D Other complications of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.593S Other complications of foreign body accidentally left in body following injection or immunization, sequela
T81.594A Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.594D Other complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.594S Other complications of foreign body accidentally left in body following endoscopic examination, sequela
T81.595A Other complications of foreign body accidentally left in body following heart catheterization, initial encounter
T81.595D Other complications of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.595S Other complications of foreign body accidentally left in body following heart catheterization, sequela
T81.596A Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.596D Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.596S Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.597A Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.597D Other complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.597S Other complications of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.598A Other complications of foreign body accidentally left in body following other procedure, initial encounter
T81.598D Other complications of foreign body accidentally left in body following other procedure, subsequent encounter
T81.598S Other complications of foreign body accidentally left in body following other procedure, sequela
T81.599A Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.599D Other complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.599S Other complications of foreign body accidentally left in body following unspecified procedure, sequela
T81.9xxA Unspecified complication of procedure, initial encounter
T81.9xxD Unspecified complication of procedure, subsequent encounter
T81.9xxS Unspecified complication of procedure, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
95
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
96
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41xA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41xD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41xS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42xA Displacement of vascular dialysis catheter, initial encounter
T82.42xD Displacement of vascular dialysis catheter, subsequent encounter
T82.42xS Displacement of vascular dialysis catheter, sequela
T82.43xA Leakage of vascular dialysis catheter, initial encounter
T82.43xD Leakage of vascular dialysis catheter, subsequent encounter
T82.43xS Leakage of vascular dialysis catheter, sequela
T82.49xA Other complication of vascular dialysis catheter, initial encounter
T82.49xD Other complication of vascular dialysis catheter, subsequent encounter
T82.49xS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
97
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
98
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T83.010A Breakdown (mechanical) of cystostomy catheter, initial encounter
T83.010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter
T83.010S Breakdown (mechanical) of cystostomy catheter, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter
T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter
T83.018S Breakdown (mechanical) of other urinary catheter, sequela
T83.020A Displacement of cystostomy catheter, initial encounter
T83.020D Displacement of cystostomy catheter, subsequent encounter
T83.020S Displacement of cystostomy catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
T83.022S Displacement of nephrostomy catheter, sequela
T83.028A Displacement of other urinary catheter, initial encounter
T83.028D Displacement of other urinary catheter, subsequent encounter
T83.028S Displacement of other urinary catheter, sequela
T83.030A Leakage of cystostomy catheter, initial encounter
T83.030D Leakage of cystostomy catheter, subsequent encounter
T83.030S Leakage of cystostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.038A Leakage of other urinary catheter, initial encounter
T83.038D Leakage of other urinary catheter, subsequent encounter
T83.038S Leakage of other urinary catheter, sequela
T83.090A Other mechanical complication of cystostomy catheter, initial encounter
T83.090D Other mechanical complication of cystostomy catheter, subsequent encounter
T83.090S Other mechanical complication of cystostomy catheter, sequela
T83.092A Other mechanical complication of nephrostomy catheter, initial encounter
T83.092D Other mechanical complication of nephrostomy catheter, subsequent encounter
T83.092S Other mechanical complication of nephrostomy catheter, sequela
T83.098A Other mechanical complication of other urinary catheter, initial encounter
T83.098D Other mechanical complication of other urinary catheter, subsequent encounter
T83.098S Other mechanical complication of other urinary catheter, sequela
T83.110A Breakdown (mechanical) of urinary electronic stimulator device, initial encounter
T83.110D Breakdown (mechanical) of urinary electronic stimulator device, subsequent encounter
T83.110S Breakdown (mechanical) of urinary electronic stimulator device, sequela
T83.113A Breakdown (mechanical) of other urinary stents, initial encounter
T83.113D Breakdown (mechanical) of other urinary stents, subsequent encounter
T83.113S Breakdown (mechanical) of other urinary stents, sequela
T83.118A Breakdown (mechanical) of other urinary devices and implants, initial encounter
T83.118D Breakdown (mechanical) of other urinary devices and implants, subsequent encounter
T83.118S Breakdown (mechanical) of other urinary devices and implants, sequela
T83.120A Displacement of urinary electronic stimulator device, initial encounter
T83.120D Displacement of urinary electronic stimulator device, subsequent encounter
T83.120S Displacement of urinary electronic stimulator device, sequela
T83.121A Displacement of implanted urinary sphincter, initial encounter
99
T83.121D Displacement of implanted urinary sphincter, subsequent encounter
T83.121S Displacement of implanted urinary sphincter, sequela
T83.122A Displacement of indwelling ureteral stent, initial encounter
T83.122D Displacement of indwelling ureteral stent, subsequent encounter
T83.122S Displacement of indwelling ureteral stent, sequela
T83.123A Displacement of other urinary stents, initial encounter
T83.123D Displacement of other urinary stents, subsequent encounter
T83.123S Displacement of other urinary stents, sequela
T83.128A Displacement of other urinary devices and implants, initial encounter
T83.128D Displacement of other urinary devices and implants, subsequent encounter
T83.128S Displacement of other urinary devices and implants, sequela
T83.190A Other mechanical complication of urinary electronic stimulator device, initial encounter
T83.190D Other mechanical complication of urinary electronic stimulator device, subsequent encounter
T83.190S Other mechanical complication of urinary electronic stimulator device, sequela
T83.191A Other mechanical complication of implanted urinary sphincter, initial encounter
T83.191D Other mechanical complication of implanted urinary sphincter, subsequent encounter
T83.191S Other mechanical complication of implanted urinary sphincter, sequela
T83.192A Other mechanical complication of indwelling ureteral stent, initial encounter
T83.192D Other mechanical complication of indwelling ureteral stent, subsequent encounter
T83.192S Other mechanical complication of indwelling ureteral stent, sequela
T83.193A Other mechanical complication of other urinary stent, initial encounter
T83.193D Other mechanical complication of other urinary stent, subsequent encounter
T83.193S Other mechanical complication of other urinary stent, sequela
T83.198A Other mechanical complication of other urinary devices and implants, initial encounter
T83.198D Other mechanical complication of other urinary devices and implants, subsequent encounter
T83.198S Other mechanical complication of other urinary devices and implants, sequela
T83.21xA Breakdown (mechanical) of graft of urinary organ, initial encounter
T83.21xD Breakdown (mechanical) of graft of urinary organ, subsequent encounter
T83.21xS Breakdown (mechanical) of graft of urinary organ, sequela
T83.22xA Displacement of graft of urinary organ, initial encounter
T83.22xD Displacement of graft of urinary organ, subsequent encounter
T83.22xS Displacement of graft of urinary organ, sequela
T83.23xA Leakage of graft of urinary organ, initial encounter
T83.23xD Leakage of graft of urinary organ, subsequent encounter
T83.23xS Leakage of graft of urinary organ, sequela
T83.24XA Erosion of graft of urinary organ, initial encounter
T83.24XD Erosion of graft of urinary organ, subsequent encounter
T83.24XS Erosion of graft of urinary organ, sequela
T83.25XA Exposure of graft of urinary organ, initial encounter
T83.25XD Exposure of graft of urinary organ, subsequent encounter
T83.25XS Exposure of graft of urinary organ, sequela
T83.29xA Other mechanical complication of graft of urinary organ, initial encounter
T83.29xD Other mechanical complication of graft of urinary organ, subsequent encounter
T83.29xS Other mechanical complication of graft of urinary organ, sequela
T83.31xA Breakdown (mechanical) of intrauterine contraceptive device, initial encounter
T83.31xD Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter
T83.31xS Breakdown (mechanical) of intrauterine contraceptive device, sequela
T83.32xA Displacement of intrauterine contraceptive device, initial encounter
T83.32xD Displacement of intrauterine contraceptive device, subsequent encounter
T83.32xS Displacement of intrauterine contraceptive device, sequela
T83.39xA Other mechanical complication of intrauterine contraceptive device, initial encounter
100
T83.39xD Other mechanical complication of intrauterine contraceptive device, subsequent encounter
T83.39xS Other mechanical complication of intrauterine contraceptive device, sequela
T83.410A Breakdown (mechanical) of implanted penile prosthesis, initial encounter
T83.410D Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter
T83.410S Breakdown (mechanical) of implanted penile prosthesis, sequela
T83.411A Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
T83.411D Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
T83.411S Breakdown (mechanical) of implanted testicular prosthesis, sequela
T83.418A Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.418D Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.418S Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, sequela
T83.420A Displacement of implanted penile prosthesis, initial encounter
T83.420D Displacement of implanted penile prosthesis, subsequent encounter
T83.420S Displacement of implanted penile prosthesis, sequela
T83.421A Displacement of implanted testicular prosthesis, initial encounter
T83.421D Displacement of implanted testicular prosthesis, subsequent encounter
T83.421S Displacement of implanted testicular prosthesis, sequela
T83.428A Displacement of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.428D Displacement of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.428S Displacement of other prosthetic devices, implants and grafts of genital tract, sequela
T83.490A Other mechanical complication of implanted penile prosthesis, initial encounter
T83.490D Other mechanical complication of implanted penile prosthesis, subsequent encounter
T83.490S Other mechanical complication of implanted penile prosthesis, sequela
T83.491A Other mechanical complication of implanted testicular prosthesis, initial encounter
T83.491D Other mechanical complication of implanted testicular prosthesis, subsequent encounter
T83.491S Other mechanical complication of implanted testicular prosthesis, sequela
T83.498A Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.498D Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.498S Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, sequela
T83.510A Infection and inflammatory reaction due to cystostomy catheter, initial encounter
T83.510D Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter
T83.510S Infection and inflammatory reaction due to cystostomy catheter, sequela
T83.511A Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
T83.511D Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter
T83.511S Infection and inflammatory reaction due to indwelling urethral catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.518A Infection and inflammatory reaction due to other urinary catheter, initial encounter
101
T83.518D Infection and inflammatory reaction due to other urinary catheter, subsequent encounter
T83.518S Infection and inflammatory reaction due to other urinary catheter, sequela
T83.590A Infection and inflammatory reaction due to implanted urinary neurostimulation device, initial encounter
T83.590D Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter
T83.590S Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela
T83.591A Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter
T83.591D Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter
T83.591S Infection and inflammatory reaction due to implanted urinary sphincter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.593A Infection and inflammatory reaction due to other urinary stents, initial encounter
T83.593D Infection and inflammatory reaction due to other urinary stents, subsequent encounter
T83.593S Infection and inflammatory reaction due to other urinary stents, sequela
T83.598A Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter
T83.598D Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
T83.598S Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
T83.61XA Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
T83.61XD Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
T83.61XS Infection and inflammatory reaction due to implanted penile prosthesis, sequela
T83.62XA Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
T83.62XD Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
T83.62XS Infection and inflammatory reaction due to implanted testicular prosthesis, sequela
T83.69XA Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter
T83.69XD Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter
T83.69XS Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela
T83.712A Erosion of implanted urethral mesh to surrounding organ or tissue, initial encounter
T83.712D Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter
T83.712S Erosion of implanted urethral mesh to surrounding organ or tissue, sequela
T83.713A Erosion of implanted urethral bulking agent to surrounding organ or tissue, initial encounter
T83.713D Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter
T83.713S Erosion of implanted urethral bulking agent to surrounding organ or tissue, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
102
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.718A Erosion of other implanted mesh to organ or tissue, initial encounter
T83.718D Erosion of other implanted mesh to organ or tissue, subsequent encounter
T83.718S Erosion of other implanted mesh to organ or tissue, sequela
T83.719A Erosion of other prosthetic materials to surrounding organ or tissue, initial encounter
T83.719D Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter
T83.719S Erosion of other prosthetic materials to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T83.728A Exposure of other implanted mesh into organ or tissue, initial encounter
T83.728D Exposure of other implanted mesh into organ or tissue, subsequent encounter
T83.728S Exposure of other implanted mesh into organ or tissue, sequela
T83.729A Exposure of other prosthetic materials into organ or tissue, initial encounter
T83.729D Exposure of other prosthetic materials into organ or tissue, subsequent encounter
T83.729S Exposure of other prosthetic materials into organ or tissue, sequela
T83.79XA Other specified complications due to other prosthetic materials, initial encounter
T83.79XD Other specified complications due to other prosthetic materials, subsequent encounter
T83.79XS Other specified complications due to other prosthetic materials, sequela
T84.010A Broken internal right hip prosthesis, initial encounter
T84.010D Broken internal right hip prosthesis, subsequent encounter
T84.010S Broken internal right hip prosthesis, sequela
T84.011A Broken internal left hip prosthesis, initial encounter
T84.011D Broken internal left hip prosthesis, subsequent encounter
T84.011S Broken internal left hip prosthesis, sequela
T84.012A Broken internal right knee prosthesis, initial encounter
T84.012D Broken internal right knee prosthesis, subsequent encounter
T84.012S Broken internal right knee prosthesis, sequela
T84.013A Broken internal left knee prosthesis, initial encounter
T84.013D Broken internal left knee prosthesis, subsequent encounter
T84.013S Broken internal left knee prosthesis, sequela
T84.018A Broken internal joint prosthesis, other site, initial encounter
T84.018D Broken internal joint prosthesis, other site, subsequent encounter
T84.018S Broken internal joint prosthesis, other site, sequela
T84.020A Dislocation of internal right hip prosthesis, initial encounter
T84.020D Dislocation of internal right hip prosthesis, subsequent encounter
T84.020S Dislocation of internal right hip prosthesis, sequela
T84.021A Dislocation of internal left hip prosthesis, initial encounter
T84.021D Dislocation of internal left hip prosthesis, subsequent encounter
T84.021S Dislocation of internal left hip prosthesis, sequela
T84.022A Instability of internal right knee prosthesis, initial encounter
T84.022D Instability of internal right knee prosthesis, subsequent encounter
103
T84.022S Instability of internal right knee prosthesis, sequela
T84.023A Instability of internal left knee prosthesis, initial encounter
T84.023D Instability of internal left knee prosthesis, subsequent encounter
T84.023S Instability of internal left knee prosthesis, sequela
T84.028A Dislocation of other internal joint prosthesis, initial encounter
T84.028D Dislocation of other internal joint prosthesis, subsequent encounter
T84.028S Dislocation of other internal joint prosthesis, sequela
T84.029A Dislocation of unspecified internal joint prosthesis, initial encounter
T84.029D Dislocation of unspecified internal joint prosthesis, subsequent encounter
T84.029S Dislocation of unspecified internal joint prosthesis, sequela
T84.030A Mechanical loosening of internal right hip prosthetic joint, initial encounter
T84.030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter
T84.030S Mechanical loosening of internal right hip prosthetic joint, sequela
T84.031A Mechanical loosening of internal left hip prosthetic joint, initial encounter
T84.031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter
T84.031S Mechanical loosening of internal left hip prosthetic joint, sequela
T84.032A Mechanical loosening of internal right knee prosthetic joint, initial encounter
T84.032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter
T84.032S Mechanical loosening of internal right knee prosthetic joint, sequela
T84.033A Mechanical loosening of internal left knee prosthetic joint, initial encounter
T84.033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter
T84.033S Mechanical loosening of internal left knee prosthetic joint, sequela
T84.038A Mechanical loosening of other internal prosthetic joint, initial encounter
T84.038D Mechanical loosening of other internal prosthetic joint, subsequent encounter
T84.038S Mechanical loosening of other internal prosthetic joint, sequela
T84.039A Mechanical loosening of unspecified internal prosthetic joint, initial encounter
T84.039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter
T84.039S Mechanical loosening of unspecified internal prosthetic joint, sequela
T84.050A Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
T84.050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter
T84.050S Periprosthetic osteolysis of internal prosthetic right hip joint, sequela
T84.051A Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
T84.051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter
T84.051S Periprosthetic osteolysis of internal prosthetic left hip joint, sequela
T84.052A Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter
T84.052D Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.052S Periprosthetic osteolysis of internal prosthetic right knee joint, sequela
T84.053A Periprosthetic osteolysis of internal prosthetic left knee joint, initial encounter
T84.053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
T84.053S Periprosthetic osteolysis of internal prosthetic left knee joint, sequela
T84.058A Periprosthetic osteolysis of other internal prosthetic joint, initial encounter
T84.058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter
T84.058S Periprosthetic osteolysis of other internal prosthetic joint, sequela
T84.059A Periprosthetic osteolysis of unspecified internal prosthetic joint, initial encounter
T84.059D Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent encounter
T84.059S Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela
T84.060A Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84.060D Wear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
T84.060S Wear of articular bearing surface of internal prosthetic right hip joint, sequela
T84.061A Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
T84.061D Wear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
T84.061S Wear of articular bearing surface of internal prosthetic left hip joint, sequela
104
T84.062A Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter
T84.062D Wear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
T84.062S Wear of articular bearing surface of internal prosthetic right knee joint, sequela
T84.063A Wear of articular bearing surface of internal prosthetic left knee joint, initial encounter
T84.063D Wear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
T84.063S Wear of articular bearing surface of internal prosthetic left knee joint, sequela
T84.068A Wear of articular bearing surface of other internal prosthetic joint, initial encounter
T84.068D Wear of articular bearing surface of other internal prosthetic joint, subsequent encounter
T84.068S Wear of articular bearing surface of other internal prosthetic joint, sequela
T84.069A Wear of articular bearing surface of unspecified internal prosthetic joint, initial encounter
T84.069D Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
T84.069S Wear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.090A Other mechanical complication of internal right hip prosthesis, initial encounter
T84.090D Other mechanical complication of internal right hip prosthesis, subsequent encounter
T84.090S Other mechanical complication of internal right hip prosthesis, sequela
T84.091A Other mechanical complication of internal left hip prosthesis, initial encounter
T84.091D Other mechanical complication of internal left hip prosthesis, subsequent encounter
T84.091S Other mechanical complication of internal left hip prosthesis, sequela
T84.092A Other mechanical complication of internal right knee prosthesis, initial encounter
T84.092D Other mechanical complication of internal right knee prosthesis, subsequent encounter
T84.092S Other mechanical complication of internal right knee prosthesis, sequela
T84.093A Other mechanical complication of internal left knee prosthesis, initial encounter
T84.093D Other mechanical complication of internal left knee prosthesis, subsequent encounter
T84.093S Other mechanical complication of internal left knee prosthesis, sequela
T84.098A Other mechanical complication of other internal joint prosthesis, initial encounter
T84.098D Other mechanical complication of other internal joint prosthesis, subsequent encounter
T84.098S Other mechanical complication of other internal joint prosthesis, sequela
T84.099A Other mechanical complication of unspecified internal joint prosthesis, initial encounter
T84.099D Other mechanical complication of unspecified internal joint prosthesis, subsequent encounter
T84.099S Other mechanical complication of unspecified internal joint prosthesis, sequela
T84.110A Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T84.110D Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T84.110S Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), sequela
T84.111A Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T84.111D Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T84.111S Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T84.112A Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
105
T84.112D Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T84.112S Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T84.113A Breakdown (mechanical) of internal fixation device of bone of left forearm, initial encounter
T84.113D Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter
T84.113S Breakdown (mechanical) of internal fixation device of bone of left forearm, sequela
T84.114A Breakdown (mechanical) of internal fixation device of right femur, initial encounter
T84.114D Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter
T84.114S Breakdown (mechanical) of internal fixation device of right femur, sequela
T84.115A Breakdown (mechanical) of internal fixation device of left femur, initial encounter
T84.115D Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter
T84.115S Breakdown (mechanical) of internal fixation device of left femur, sequela
T84.116A Breakdown (mechanical) of internal fixation device of bone of right lower leg, initial encounter
T84.116D Breakdown (mechanical) of internal fixation device of bone of right lower leg, subsequent encounter
T84.116S Breakdown (mechanical) of internal fixation device of bone of right lower leg, sequela
T84.117A Breakdown (mechanical) of internal fixation device of bone of left lower leg, initial encounter
T84.117D Breakdown (mechanical) of internal fixation device of bone of left lower leg, subsequent encounter
T84.117S Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela
T84.119A Breakdown (mechanical) of internal fixation device of unspecified bone of limb, initial encounter
T84.119D Breakdown (mechanical) of internal fixation device of unspecified bone of limb, subsequent encounter
T84.119S Breakdown (mechanical) of internal fixation device of unspecified bone of limb, sequela
T84.120A Displacement of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T84.120D Displacement of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T84.120S Displacement of implanted electronic neurostimulator of brain, electrode (lead), sequela
T84.121A Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T84.121D Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T84.121S Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T84.122A Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T84.122D Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T84.122S Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T84.123A Displacement of internal fixation device of bone of left forearm, initial encounter
T84.123D Displacement of internal fixation device of bone of left forearm, subsequent encounter
T84.123S Displacement of internal fixation device of bone of left forearm, sequela
106
T84.124A Displacement of internal fixation device of right femur, initial encounter
T84.124D Displacement of internal fixation device of right femur, subsequent encounter
T84.124S Displacement of internal fixation device of right femur, sequela
T84.125A Displacement of internal fixation device of left femur, initial encounter
T84.125D Displacement of internal fixation device of left femur, subsequent encounter
T84.125S Displacement of internal fixation device of left femur, sequela
T84.126A Displacement of internal fixation device of bone of right lower leg, initial encounter
T84.126D Displacement of internal fixation device of bone of right lower leg, subsequent encounter
T84.126S Displacement of internal fixation device of bone of right lower leg, sequela
T84.127A Displacement of internal fixation device of bone of left lower leg, initial encounter
T84.127D Displacement of internal fixation device of bone of left lower leg, subsequent encounter
T84.127S Displacement of internal fixation device of bone of left lower leg, sequela
T84.129A Displacement of internal fixation device of unspecified bone of limb, initial encounter
T84.129D Displacement of internal fixation device of unspecified bone of limb, subsequent encounter
T84.129S Displacement of internal fixation device of unspecified bone of limb, sequela
T84.190A Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T84.190D Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T84.190S Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), sequela
T84.191A Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T84.191D Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T84.191S Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T84.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T84.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T84.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T84.193A Other mechanical complication of internal fixation device of bone of left forearm, initial encounter
T84.193D Other mechanical complication of internal fixation device of bone of left forearm, subsequent encounter
T84.193S Other mechanical complication of internal fixation device of bone of left forearm, sequela
T84.194A Other mechanical complication of internal fixation device of right femur, initial encounter
T84.194D Other mechanical complication of internal fixation device of right femur, subsequent encounter
T84.194S Other mechanical complication of internal fixation device of right femur, sequela
T84.195A Other mechanical complication of internal fixation device of left femur, initial encounter
T84.195D Other mechanical complication of internal fixation device of left femur, subsequent encounter
T84.195S Other mechanical complication of internal fixation device of left femur, sequela
T84.196A Other mechanical complication of internal fixation device of bone of right lower leg, initial encounter
107
T84.196D Other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter
T84.196S Other mechanical complication of internal fixation device of bone of right lower leg, sequela
T84.197A Other mechanical complication of internal fixation device of bone of left lower leg, initial encounter
T84.197D Other mechanical complication of internal fixation device of bone of left lower leg, subsequent encounter
T84.197S Other mechanical complication of internal fixation device of bone of left lower leg, sequela
T84.199A Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter
T84.199D Other mechanical complication of internal fixation device of unspecified bone of limb, subsequent encounter
T84.199S Other mechanical complication of internal fixation device of unspecified bone of limb, sequela
T84.210A Breakdown (mechanical) of internal fixation device of bones of hand and fingers, initial encounter
T84.210D Breakdown (mechanical) of internal fixation device of bones of hand and fingers, subsequent encounter
T84.210S Breakdown (mechanical) of internal fixation device of bones of hand and fingers, sequela
T84.213A Breakdown (mechanical) of internal fixation device of bones of foot and toes, initial encounter
T84.213D Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter
T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes, sequela
T84.216A Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
T84.216D Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter
T84.216S Breakdown (mechanical) of internal fixation device of vertebrae, sequela
T84.218A Breakdown (mechanical) of internal fixation device of other bones, initial encounter
T84.218D Breakdown (mechanical) of internal fixation device of other bones, subsequent encounter
T84.218S Breakdown (mechanical) of internal fixation device of other bones, sequela
T84.220A Displacement of internal fixation device of bones of hand and fingers, initial encounter
T84.220D Displacement of internal fixation device of bones of hand and fingers, subsequent encounter
T84.220S Displacement of internal fixation device of bones of hand and fingers, sequela
T84.223A Displacement of internal fixation device of bones of foot and toes, initial encounter
T84.223D Displacement of internal fixation device of bones of foot and toes, subsequent encounter
T84.223S Displacement of internal fixation device of bones of foot and toes, sequela
T84.226A Displacement of internal fixation device of vertebrae, initial encounter
T84.226D Displacement of internal fixation device of vertebrae, subsequent encounter
T84.226S Displacement of internal fixation device of vertebrae, sequela
T84.228A Displacement of internal fixation device of other bones, initial encounter
T84.228D Displacement of internal fixation device of other bones, subsequent encounter
T84.228S Displacement of internal fixation device of other bones, sequela
T84.290A Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter
T84.290D Other mechanical complication of internal fixation device of bones of hand and fingers, subsequent encounter
108
T84.290S Other mechanical complication of internal fixation device of bones of hand and fingers, sequela
T84.293A Other mechanical complication of internal fixation device of bones of foot and toes, initial encounter
T84.293D Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter
T84.293S Other mechanical complication of internal fixation device of bones of foot and toes, sequela
T84.296A Other mechanical complication of internal fixation device of vertebrae, initial encounter
T84.296D Other mechanical complication of internal fixation device of vertebrae, subsequent encounter
T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela
T84.298A Other mechanical complication of internal fixation device of other bones, initial encounter
T84.298D Other mechanical complication of internal fixation device of other bones, subsequent encounter
T84.298S Other mechanical complication of internal fixation device of other bones, sequela
T84.310A Breakdown (mechanical) of electronic bone stimulator, initial encounter
T84.310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter
T84.310S Breakdown (mechanical) of electronic bone stimulator, sequela
T84.318A Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter
T84.318D Breakdown (mechanical) of other bone devices, implants and grafts, subsequent encounter
T84.318S Breakdown (mechanical) of other bone devices, implants and grafts, sequela
T84.320A Displacement of electronic bone stimulator, initial encounter
T84.320D Displacement of electronic bone stimulator, subsequent encounter
T84.320S Displacement of electronic bone stimulator, sequela
T84.328A Displacement of other bone devices, implants and grafts, initial encounter
T84.328D Displacement of other bone devices, implants and grafts, subsequent encounter
T84.328S Displacement of other bone devices, implants and grafts, sequela
T84.390A Other mechanical complication of electronic bone stimulator, initial encounter
T84.390D Other mechanical complication of electronic bone stimulator, subsequent encounter
T84.390S Other mechanical complication of electronic bone stimulator, sequela
T84.398A Other mechanical complication of other bone devices, implants and grafts, initial encounter
T84.398D Other mechanical complication of other bone devices, implants and grafts, subsequent encounter
T84.398S Other mechanical complication of other bone devices, implants and grafts, sequela
T84.410A Breakdown (mechanical) of muscle and tendon graft, initial encounter
T84.410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter
T84.410S Breakdown (mechanical) of muscle and tendon graft, sequela
T84.418A Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, initial encounter
T84.418D Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.418S Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, sequela
T84.420A Displacement of muscle and tendon graft, initial encounter
T84.420D Displacement of muscle and tendon graft, subsequent encounter
T84.420S Displacement of muscle and tendon graft, sequela
T84.428A Displacement of other internal orthopedic devices, implants and grafts, initial encounter
T84.428D Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter
109
T84.428S Displacement of other internal orthopedic devices, implants and grafts, sequela
T84.490A Other mechanical complication of muscle and tendon graft, initial encounter
T84.490D Other mechanical complication of muscle and tendon graft, subsequent encounter
T84.490S Other mechanical complication of muscle and tendon graft, sequela
T84.498A Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter
T84.498D Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.498S Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela
T85.01xA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01xD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01xS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02xA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02xD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02xS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03xA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03xD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03xS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09xA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09xD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09xS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, subsequent encounter
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela
T85.112A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, initial encounter
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, subsequent encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, sequela
T85.118A Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118D Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
T85.118S Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.120A Displacement of implanted electronic neurostimulator (electrode) of brain, initial encounter
110
T85.120D Displacement of implanted electronic neurostimulator (electrode) of brain, subsequent encounter
T85.120S Displacement of implanted electronic neurostimulator (electrode) of brain, sequela
T85.121A Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, initial encounter
T85.121D Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, subsequent encounter
T85.121S Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela
T85.122A Displacement of implanted electronic neurostimulator (electrode) of spinal cord, initial encounter
T85.122D Displacement of implanted electronic neurostimulator (electrode) of spinal cord, subsequent encounter
T85.122S Displacement of implanted electronic neurostimulator (electrode) of spinal cord, sequela
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator (electrode) of brain, initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator (electrode) of brain, subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator (electrode) of brain, sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator (electrode) of peripheral nerve, initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator (electrode) of peripheral nerve, subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator (electrode) of spinal cord, initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator (electrode) of spinal cord, subsequent encounter
T85.192S Other mechanical complication of implanted electronic neurostimulator (electrode) of spinal cord, sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
T86.899 Unspecified complication of other transplanted tissue
111
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z48.23 Encounter for aftercare following liver transplant
Z52.4 Kidney donor
Z52.6 Liver donor
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.01 Personal history of malignant neoplasm of esophagus
Z85.020 Personal history of malignant carcinoid tumor of stomach
Z85.028 Personal history of other malignant neoplasm of stomach
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Z85.038 Personal history of other malignant neoplasm of large intestine
Z85.040 Personal history of malignant carcinoid tumor of rectum
Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
Z85.05 Personal history of malignant neoplasm of liver
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Z85.068 Personal history of other malignant neoplasm of small intestine
Z85.07 Personal history of malignant neoplasm of pancreas
Z85.09 Personal history of malignant neoplasm of other digestive organs
Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Z85.12 Personal history of malignant neoplasm of trachea
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
Z85.21 Personal history of malignant neoplasm of larynx
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Z85.230 Personal history of malignant carcinoid tumor of thymus
Z85.238 Personal history of other malignant neoplasm of thymus
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis
Z85.49 Personal history of malignant neoplasm of other male genital organs
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.520 Personal history of malignant carcinoid tumor of kidney
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.54 Personal history of malignant neoplasm of ureter
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
Z85.6 Personal history of leukemia
Z85.71 Personal history of Hodgkin lymphoma
Z85.72 Personal history of non-Hodgkin lymphomas
112
Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z85.810 Personal history of malignant neoplasm of tongue
Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Z85.820 Personal history of malignant melanoma of skin
Z85.821 Personal history of Merkel cell carcinoma
Z85.828 Personal history of other malignant neoplasm of skin
Z85.830 Personal history of malignant neoplasm of bone
Z85.831 Personal history of malignant neoplasm of soft tissue
Z85.840 Personal history of malignant neoplasm of eye
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
Z85.9 Personal history of malignant neoplasm, unspecified
Z87.442 Personal history of urinary calculi
Z94.4 Liver transplant status
Z98.890 Other specified postprocedural states
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT Codes
CPT codes: Code Description
74176 CT abdomen and pelvis without contrast
74177 CT abdomen and pelvis with contrast
74178 CT abdomen and pelvis without contrast in one or both body regions, followed by re-imaging with contrast
The following ICD Diagnosis Codes are considered medically necessary when submitted with the CPT codes above if medical necessity criteria are met
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0 Renovascular hypertension
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified
I70.0 Atherosclerosis of aorta
I71.00 Dissection of unspecified site of aorta
I71.01 Dissection of thoracic aorta
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.1 Thoracic aortic aneurysm, ruptured
118
I71.2 Thoracic aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
I71.9 Aortic aneurysm of unspecified site, without rupture
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.8 Aneurysm of other specified arteries
I74.01 Saddle Embolus Of Abdominal Aorta
I74.09 Other Arterial Embolism And Thrombosis Of Abdominal Aorta
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.4 Celiac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.819 Aortic ectasia, unspecified site
I77.89 Other specified disorders of arteries and arterioles
I77.9 Disorder of arteries and arterioles, unspecified
I79.0 Aneurysm of aorta in diseases classified elsewhere
I81 Portal vein thrombosis
I82.0 Budd-Chiari syndrome
I82.290 Acute Embolism And Thrombosis Of Other Thoracic Veins
I82.3 Embolism and thrombosis of renal vein
I82.609 Acute Embolism And Thrombosis Of Unspecified Veins Of Unspecified Upper Extremity
I82.619 Acute Embolism And Thrombosis Of Superficial Veins Of Unspecified Upper Extremity
I82.629 Acute Embolism And Thrombosis Of Deep Veins Of Unspecified Upper Extremity
I82.890 Acute Embolism And Thrombosis Of Other Specified Veins
I82.A19 Acute Embolism And Thrombosis Of Unspecified Axillary Vein
I82.B19 Acute Embolism And Thrombosis Of Unspecified Subclavian Vein
I82.C19 Acute Embolism And Thrombosis Of Unspecified Internal Jugular Vein
I85.00 Esophageal varices without bleeding
I85.01 Esophageal varices with bleeding
I86.2 Pelvic varices
I88.0 Nonspecific mesenteric lymphadenitis
I89.0 Lymphedema, not elsewhere classified
J86.0 Pyothorax with fistula
119
K21.9 Gastro-esophageal reflux disease without esophagitis
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
194
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
T81.49XS Infection following a procedure, other surgical site, sequela
T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter
T81.500D Unspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.500S Unspecified complication of foreign body accidentally left in body following surgical operation, sequela
T81.501A Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.501D Unspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.501S Unspecified complication of foreign body accidentally left in body following infusion or transfusion, sequela
T81.502A Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502D Unspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.502S Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela
T81.503A Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter
T81.503D Unspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.503S Unspecified complication of foreign body accidentally left in body following injection or immunization, sequela
T81.504A Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.504D Unspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.504S Unspecified complication of foreign body accidentally left in body following endoscopic examination, sequela
T81.505A Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter
T81.505D Unspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.505S Unspecified complication of foreign body accidentally left in body following heart catheterization, sequela
T81.506A Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.506D Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
195
T81.506S Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.507A Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.507D Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.507S Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.508A Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter
T81.508D Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter
T81.508S Unspecified complication of foreign body accidentally left in body following other procedure, sequela
T81.509A Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.509D Unspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.509S Unspecified complication of foreign body accidentally left in body following unspecified procedure, sequela
T81.510A Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter
T81.510D Adhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.510S Adhesions due to foreign body accidentally left in body following surgical operation, sequela
T81.511A Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.511D Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.511S Adhesions due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.512A Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.512D Adhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.512S Adhesions due to foreign body accidentally left in body following kidney dialysis, sequela
T81.513A Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.513D Adhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.513S Adhesions due to foreign body accidentally left in body following injection or immunization, sequela
T81.514A Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.514D Adhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.514S Adhesions due to foreign body accidentally left in body following endoscopic examination, sequela
T81.515A Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.515D Adhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.515S Adhesions due to foreign body accidentally left in body following heart catheterization, sequela
196
T81.516A Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.516D Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.516S Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.517A Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.517D Adhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.517S Adhesions due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.518A Adhesions due to foreign body accidentally left in body following other procedure, initial encounter
T81.518D Adhesions due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.518S Adhesions due to foreign body accidentally left in body following other procedure, sequela
T81.519A Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.519D Adhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.519S Adhesions due to foreign body accidentally left in body following unspecified procedure, sequela
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter
T81.520D Obstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.520S Obstruction due to foreign body accidentally left in body following surgical operation, sequela
T81.521A Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.521D Obstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.521S Obstruction due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.522A Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.522D Obstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.522S Obstruction due to foreign body accidentally left in body following kidney dialysis, sequela
T81.523A Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.523D Obstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.523S Obstruction due to foreign body accidentally left in body following injection or immunization, sequela
T81.524A Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.524D Obstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.524S Obstruction due to foreign body accidentally left in body following endoscopic examination, sequela
T81.525A Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter
197
T81.525D Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.525S Obstruction due to foreign body accidentally left in body following heart catheterization, sequela
T81.526A Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.526D Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.526S Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.527A Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.527D Obstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.527S Obstruction due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.528A Obstruction due to foreign body accidentally left in body following other procedure, initial encounter
T81.528D Obstruction due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.528S Obstruction due to foreign body accidentally left in body following other procedure, sequela
T81.529A Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.529D Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.529S Obstruction due to foreign body accidentally left in body following unspecified procedure, sequela
T81.530A Perforation due to foreign body accidentally left in body following surgical operation, initial encounter
T81.530D Perforation due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.530S Perforation due to foreign body accidentally left in body following surgical operation, sequela
T81.531A Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.531D Perforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.531S Perforation due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.532A Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.532D Perforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.532S Perforation due to foreign body accidentally left in body following kidney dialysis, sequela
T81.533A Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.533D Perforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.533S Perforation due to foreign body accidentally left in body following injection or immunization, sequela
T81.534A Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534D Perforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
198
T81.534S Perforation due to foreign body accidentally left in body following endoscopic examination, sequela
T81.535A Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.535D Perforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.535S Perforation due to foreign body accidentally left in body following heart catheterization, sequela
T81.536A Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.536D Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.536S Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.537A Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.537D Perforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.537S Perforation due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.538A Perforation due to foreign body accidentally left in body following other procedure, initial encounter
T81.538D Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.538S Perforation due to foreign body accidentally left in body following other procedure, sequela
T81.539A Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.539D Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.539S Perforation due to foreign body accidentally left in body following unspecified procedure, sequela
T81.590A Other complications of foreign body accidentally left in body following surgical operation, initial encounter
T81.590D Other complications of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.590S Other complications of foreign body accidentally left in body following surgical operation, sequela
T81.591A Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.591D Other complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.591S Other complications of foreign body accidentally left in body following infusion or transfusion, sequela
T81.592A Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.592D Other complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.592S Other complications of foreign body accidentally left in body following kidney dialysis, sequela
T81.593A Other complications of foreign body accidentally left in body following injection or immunization, initial encounter
T81.593D Other complications of foreign body accidentally left in body following injection or immunization, subsequent encounter
199
T81.593S Other complications of foreign body accidentally left in body following injection or immunization, sequela
T81.594A Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.594D Other complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.594S Other complications of foreign body accidentally left in body following endoscopic examination, sequela
T81.595A Other complications of foreign body accidentally left in body following heart catheterization, initial encounter
T81.595D Other complications of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.595S Other complications of foreign body accidentally left in body following heart catheterization, sequela
T81.596A Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.596D Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.596S Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.597A Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.597D Other complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.597S Other complications of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.598A Other complications of foreign body accidentally left in body following other procedure, initial encounter
T81.598D Other complications of foreign body accidentally left in body following other procedure, subsequent encounter
T81.598S Other complications of foreign body accidentally left in body following other procedure, sequela
T81.599A Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.599D Other complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.599S Other complications of foreign body accidentally left in body following unspecified procedure, sequela
T81.9xxA Unspecified complication of procedure, initial encounter
T81.9xxD Unspecified complication of procedure, subsequent encounter
T81.9xxS Unspecified complication of procedure, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
200
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
201
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41xA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41xD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41xS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42xA Displacement of vascular dialysis catheter, initial encounter
T82.42xD Displacement of vascular dialysis catheter, subsequent encounter
T82.42xS Displacement of vascular dialysis catheter, sequela
T82.43xA Leakage of vascular dialysis catheter, initial encounter
T82.43xD Leakage of vascular dialysis catheter, subsequent encounter
T82.43xS Leakage of vascular dialysis catheter, sequela
T82.49xA Other complication of vascular dialysis catheter, initial encounter
T82.49xD Other complication of vascular dialysis catheter, subsequent encounter
T82.49xS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
202
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
203
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T83.010A Breakdown (mechanical) of cystostomy catheter, initial encounter
T83.010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter
T83.010S Breakdown (mechanical) of cystostomy catheter, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter
T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter
T83.018S Breakdown (mechanical) of other urinary catheter, sequela
T83.020A Displacement of cystostomy catheter, initial encounter
T83.020D Displacement of cystostomy catheter, subsequent encounter
T83.020S Displacement of cystostomy catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
T83.022S Displacement of nephrostomy catheter, sequela
T83.028A Displacement of other urinary catheter, initial encounter
T83.028D Displacement of other urinary catheter, subsequent encounter
T83.028S Displacement of other urinary catheter, sequela
T83.030A Leakage of cystostomy catheter, initial encounter
T83.030D Leakage of cystostomy catheter, subsequent encounter
T83.030S Leakage of cystostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.038A Leakage of other urinary catheter, initial encounter
T83.038D Leakage of other urinary catheter, subsequent encounter
T83.038S Leakage of other urinary catheter, sequela
T83.090A Other mechanical complication of cystostomy catheter, initial encounter
T83.090D Other mechanical complication of cystostomy catheter, subsequent encounter
T83.090S Other mechanical complication of cystostomy catheter, sequela
204
T83.092A Other mechanical complication of nephrostomy catheter, initial encounter
T83.092D Other mechanical complication of nephrostomy catheter, subsequent encounter
T83.092S Other mechanical complication of nephrostomy catheter, sequela
T83.098A Other mechanical complication of other urinary catheter, initial encounter
T83.098D Other mechanical complication of other urinary catheter, subsequent encounter
T83.098S Other mechanical complication of other urinary catheter, sequela
T83.110A Breakdown (mechanical) of urinary electronic stimulator device, initial encounter
T83.110D Breakdown (mechanical) of urinary electronic stimulator device, subsequent encounter
T83.110S Breakdown (mechanical) of urinary electronic stimulator device, sequela
T83.111A Breakdown (mechanical) of implanted urinary sphincter, initial encounter
T83.111D Breakdown (mechanical) of implanted urinary sphincter, subsequent encounter
T83.111S Breakdown (mechanical) of implanted urinary sphincter, sequela
T83.112A Breakdown (mechanical) of indwelling ureteral stent, initial encounter
T83.112D Breakdown (mechanical) of indwelling ureteral stent, subsequent encounter
T83.112S Breakdown (mechanical) of indwelling ureteral stent, sequela
T83.113A Breakdown (mechanical) of other urinary stents, initial encounter
T83.113D Breakdown (mechanical) of other urinary stents, subsequent encounter
T83.113S Breakdown (mechanical) of other urinary stents, sequela
T83.118A Breakdown (mechanical) of other urinary devices and implants, initial encounter
T83.118D Breakdown (mechanical) of other urinary devices and implants, subsequent encounter
T83.118S Breakdown (mechanical) of other urinary devices and implants, sequela
T83.120A Displacement of urinary electronic stimulator device, initial encounter
T83.120D Displacement of urinary electronic stimulator device, subsequent encounter
T83.120S Displacement of urinary electronic stimulator device, sequela
T83.121A Displacement of urinary sphincter implant, initial encounter
T83.121D Displacement of urinary sphincter implant, subsequent encounter
T83.121S Displacement of urinary sphincter implant, sequela
T83.122A Displacement of indwelling ureteral stent, initial encounter
T83.122D Displacement of indwelling ureteral stent, subsequent encounter
T83.122S Displacement of indwelling ureteral stent, sequela
T83.123A Displacement of other urinary stents, initial encounter
T83.123D Displacement of other urinary stents, subsequent encounter
T83.123S Displacement of other urinary stents, sequela
T83.128A Displacement of other urinary devices and implants, initial encounter
T83.128D Displacement of other urinary devices and implants, subsequent encounter
T83.128S Displacement of other urinary devices and implants, sequela
T83.190A Other mechanical complication of urinary electronic stimulator device, initial encounter
T83.190D Other mechanical complication of urinary electronic stimulator device, subsequent encounter
T83.190S Other mechanical complication of urinary electronic stimulator device, sequela
T83.191A Other mechanical complication of implanted urinary sphincter, initial encounter
T83.191D Other mechanical complication of implanted urinary sphincter, subsequent encounter
T83.191S Other mechanical complication of implanted urinary sphincter, sequela
T83.192A Other mechanical complication of indwelling ureteral stent, initial encounter
205
T83.192D Other mechanical complication of indwelling ureteral stent, subsequent encounter
T83.192S Other mechanical complication of indwelling ureteral stent, sequela
T83.193A Other mechanical complication of other urinary stent, initial encounter
T83.193D Other mechanical complication of other urinary stent, subsequent encounter
T83.193S Other mechanical complication of other urinary stent, sequela
T83.198A Other mechanical complication of other urinary devices and implants, initial encounter
T83.198D Other mechanical complication of other urinary devices and implants, subsequent encounter
T83.198S Other mechanical complication of other urinary devices and implants, sequela
T83.21xA Breakdown (mechanical) of graft of urinary organ, initial encounter
T83.21xD Breakdown (mechanical) of graft of urinary organ, subsequent encounter
T83.21xS Breakdown (mechanical) of graft of urinary organ, sequela
T83.22xA Displacement of graft of urinary organ, initial encounter
T83.22xD Displacement of graft of urinary organ, subsequent encounter
T83.22xS Displacement of graft of urinary organ, sequela
T83.23xA Leakage of graft of urinary organ, initial encounter
T83.23xD Leakage of graft of urinary organ, subsequent encounter
T83.23xS Leakage of graft of urinary organ, sequela
T83.24XA Erosion of graft of urinary organ, initial encounter
T83.24XD Erosion of graft of urinary organ, subsequent encounter
T83.24XS Erosion of graft of urinary organ, sequela
T83.25XA Exposure of graft of urinary organ, initial encounter
T83.25XD Exposure of graft of urinary organ, subsequent encounter
T83.25XS Exposure of graft of urinary organ, sequela
T83.29xA Other mechanical complication of graft of urinary organ, initial encounter
T83.29xD Other mechanical complication of graft of urinary organ, subsequent encounter
T83.29xS Other mechanical complication of graft of urinary organ, sequela
T83.31xA Breakdown (mechanical) of intrauterine contraceptive device, initial encounter
T83.31xD Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter
T83.31xS Breakdown (mechanical) of intrauterine contraceptive device, sequela
T83.32xA Displacement of intrauterine contraceptive device, initial encounter
T83.32xD Displacement of intrauterine contraceptive device, subsequent encounter
T83.32xS Displacement of intrauterine contraceptive device, sequela
T83.39xA Other mechanical complication of intrauterine contraceptive device, initial encounter
T83.39xD Other mechanical complication of intrauterine contraceptive device, subsequent encounter
T83.39xS Other mechanical complication of intrauterine contraceptive device, sequela
T83.410A Breakdown (mechanical) of implanted penile prosthesis, initial encounter
T83.410D Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter
T83.410S Breakdown (mechanical) of implanted penile prosthesis, sequela
T83.411A Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
T83.411D Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
T83.411S Breakdown (mechanical) of implanted testicular prosthesis, sequela
T83.418A Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, initial encounter
206
T83.418D Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.418S Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, sequela
T83.420A Displacement of implanted penile prosthesis, initial encounter
T83.420D Displacement of implanted penile prosthesis, subsequent encounter
T83.420S Displacement of implanted penile prosthesis, sequela
T83.421A Displacement of implanted testicular prosthesis, initial encounter
T83.421D Displacement of implanted testicular prosthesis, subsequent encounter
T83.421S Displacement of implanted testicular prosthesis, sequela
T83.428A Displacement of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.428D Displacement of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.428S Displacement of other prosthetic devices, implants and grafts of genital tract, sequela
T83.490A Other mechanical complication of implanted penile prosthesis, initial encounter
T83.490D Other mechanical complication of implanted penile prosthesis, subsequent encounter
T83.490S Other mechanical complication of implanted penile prosthesis, sequela
T83.491A Other mechanical complication of implanted testicular prosthesis, initial encounter
T83.491D Other mechanical complication of implanted testicular prosthesis, subsequent encounter
T83.491S Other mechanical complication of implanted testicular prosthesis, sequela
T83.498A Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.498D Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.498S Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, sequela
T83.510A Infection and inflammatory reaction due to cystostomy catheter, initial encounter
T83.510D Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter
T83.510S Infection and inflammatory reaction due to cystostomy catheter, sequela
T83.511A Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
T83.511D Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter
T83.511S Infection and inflammatory reaction due to indwelling urethral catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.518A Infection and inflammatory reaction due to other urinary catheter, initial encounter
T83.518D Infection and inflammatory reaction due to other urinary catheter, subsequent encounter
T83.518S Infection and inflammatory reaction due to other urinary catheter, sequela
T83.590A Infection and inflammatory reaction due to implanted urinary neurostimulation device, initial encounter
T83.590D Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter
T83.590S Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela
T83.591A Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter
207
T83.591D Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter
T83.591S Infection and inflammatory reaction due to implanted urinary sphincter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.593A Infection and inflammatory reaction due to other urinary stents, initial encounter
T83.593D Infection and inflammatory reaction due to other urinary stents, subsequent encounter
T83.593S Infection and inflammatory reaction due to other urinary stents, sequela
T83.598A Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter
T83.598D Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
T83.598S Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
T83.61XA Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
T83.61XD Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
T83.61XS Infection and inflammatory reaction due to implanted penile prosthesis, sequela
T83.62XA Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
T83.62XD Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
T83.62XS Infection and inflammatory reaction due to implanted testicular prosthesis, sequela
T83.69XA Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter
T83.69XD Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter
T83.69XS Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela
T83.712A Erosion of implanted urethral mesh to surrounding organ or tissue, initial encounter
T83.712D Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter
T83.712S Erosion of implanted urethral mesh to surrounding organ or tissue, sequela
T83.713A Erosion of implanted urethral bulking agent to surrounding organ or tissue, initial encounter
T83.713D Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter
T83.713S Erosion of implanted urethral bulking agent to surrounding organ or tissue, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.718A Erosion of other implanted mesh to organ or tissue, initial encounter
T83.718D Erosion of other implanted mesh to organ or tissue, subsequent encounter
T83.718S Erosion of other implanted mesh to organ or tissue, sequela
T83.719A Erosion of other prosthetic materials to surrounding organ or tissue, initial encounter
T83.719D Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter
T83.719S Erosion of other prosthetic materials to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
208
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T83.728A Exposure of implanted vaginal mesh into vagina, initial encounter
T83.728D Exposure of implanted vaginal mesh into vagina, subsequent encounter
T83.728S Exposure of implanted vaginal mesh into vagina, sequela
T83.729A Exposure of other prosthetic materials into organ or tissue, initial encounter
T83.729D Exposure of other prosthetic materials into organ or tissue, subsequent encounter
T83.729S Exposure of other prosthetic materials into organ or tissue, sequela
T83.79XA Other specified complications due to other prosthetic materials, initial encounter
T83.79XD Other specified complications due to other prosthetic materials, subsequent encounter
T83.79XS Other specified complications due to other prosthetic materials, sequela
T84.010A Exposure of other implanted mesh into organ or tissue, initial encounter
T84.010D Exposure of other implanted mesh into organ or tissue, subsequent encounter
T84.010S Exposure of other implanted mesh into organ or tissue, sequela
T84.011A Erosion of other implanted mesh to organ or tissue, initial encounter
T84.011D Erosion of other implanted mesh to organ or tissue, subsequent encounter
T84.011S Erosion of other implanted mesh to organ or tissue, sequela
T84.012A Exposure of implanted vaginal mesh into vagina, initial encounter
T84.012D Exposure of implanted vaginal mesh into vagina, subsequent encounter
T84.012S Exposure of implanted vaginal mesh into vagina, sequela
T84.013A Broken internal left knee prosthesis, initial encounter
T84.013D Broken internal left knee prosthesis, subsequent encounter
T84.013S Broken internal left knee prosthesis, sequela
T84.018A Broken internal joint prosthesis, other site, initial encounter
T84.018D Broken internal joint prosthesis, other site, subsequent encounter
T84.018S Broken internal joint prosthesis, other site, sequela
T84.020A Dislocation of internal right hip prosthesis, initial encounter
T84.020D Dislocation of internal right hip prosthesis, subsequent encounter
T84.020S Dislocation of internal right hip prosthesis, sequela
T84.021A Dislocation of internal left hip prosthesis, initial encounter
T84.021D Dislocation of internal left hip prosthesis, subsequent encounter
T84.021S Dislocation of internal left hip prosthesis, sequela
T84.022A Instability of internal right knee prosthesis, initial encounter
T84.022D Instability of internal right knee prosthesis, subsequent encounter
T84.022S Instability of internal right knee prosthesis, sequela
209
T84.023A Instability of internal left knee prosthesis, initial encounter
T84.023D Instability of internal left knee prosthesis, subsequent encounter
T84.023S Instability of internal left knee prosthesis, sequela
T84.028A Dislocation of other internal joint prosthesis, initial encounter
T84.028D Dislocation of other internal joint prosthesis, subsequent encounter
T84.028S Dislocation of other internal joint prosthesis, sequela
T84.029A Dislocation of unspecified internal joint prosthesis, initial encounter
T84.029D Dislocation of unspecified internal joint prosthesis, subsequent encounter
T84.029S Dislocation of unspecified internal joint prosthesis, sequela
T84.030A Mechanical loosening of internal right hip prosthetic joint, initial encounter
T84.030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter
T84.030S Mechanical loosening of internal right hip prosthetic joint, sequela
T84.031A Mechanical loosening of internal left hip prosthetic joint, initial encounter
T84.031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter
T84.031S Mechanical loosening of internal left hip prosthetic joint, sequela
T84.032A Mechanical loosening of internal right knee prosthetic joint, initial encounter
T84.032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter
T84.032S Mechanical loosening of internal right knee prosthetic joint, sequela
T84.033A Mechanical loosening of internal left knee prosthetic joint, initial encounter
T84.033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter
T84.033S Mechanical loosening of internal left knee prosthetic joint, sequela
T84.038A Mechanical loosening of other internal prosthetic joint, initial encounter
T84.038D Mechanical loosening of other internal prosthetic joint, subsequent encounter
T84.038S Mechanical loosening of other internal prosthetic joint, sequela
T84.039A Mechanical loosening of unspecified internal prosthetic joint, initial encounter
T84.039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter
T84.039S Mechanical loosening of unspecified internal prosthetic joint, sequela
T84.050A Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
T84.050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter
T84.050S Periprosthetic osteolysis of internal prosthetic right hip joint, sequela
T84.051A Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
T84.051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter
T84.051S Periprosthetic osteolysis of internal prosthetic left hip joint, sequela
T84.052A Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter
T84.052D Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.052S Periprosthetic osteolysis of internal prosthetic right knee joint, sequela
T84.053A Periprosthetic osteolysis of internal prosthetic left knee joint, initial encounter
T84.053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
T84.053S Periprosthetic osteolysis of internal prosthetic left knee joint, sequela
T84.058A Periprosthetic osteolysis of other internal prosthetic joint, initial encounter
T84.058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter
T84.058S Periprosthetic osteolysis of other internal prosthetic joint, sequela
T84.059A Periprosthetic osteolysis of unspecified internal prosthetic joint, initial encounter
210
T84.059D Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent encounter
T84.059S Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela
T84.060A Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84.060D Wear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
T84.060S Wear of articular bearing surface of internal prosthetic right hip joint, sequela
T84.061A Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
T84.061D Wear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
T84.061S Wear of articular bearing surface of internal prosthetic left hip joint, sequela
T84.062A Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter
T84.062D Wear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
T84.062S Wear of articular bearing surface of internal prosthetic right knee joint, sequela
T84.063A Wear of articular bearing surface of internal prosthetic left knee joint, initial encounter
T84.063D Wear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
T84.063S Wear of articular bearing surface of internal prosthetic left knee joint, sequela
T84.068A Wear of articular bearing surface of other internal prosthetic joint, initial encounter
T84.068D Wear of articular bearing surface of other internal prosthetic joint, subsequent encounter
T84.068S Wear of articular bearing surface of other internal prosthetic joint, sequela
T84.069A Wear of articular bearing surface of unspecified internal prosthetic joint, initial encounter
T84.069D Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
T84.069S Wear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.090A Other mechanical complication of internal right hip prosthesis, initial encounter
T84.090D Other mechanical complication of internal right hip prosthesis, subsequent encounter
T84.090S Other mechanical complication of internal right hip prosthesis, sequela
T84.091A Other mechanical complication of internal left hip prosthesis, initial encounter
T84.091D Other mechanical complication of internal left hip prosthesis, subsequent encounter
T84.091S Other mechanical complication of internal left hip prosthesis, sequela
T84.092A Other mechanical complication of internal right knee prosthesis, initial encounter
T84.092D Other mechanical complication of internal right knee prosthesis, subsequent encounter
T84.092S Other mechanical complication of internal right knee prosthesis, sequela
T84.093A Other mechanical complication of internal left knee prosthesis, initial encounter
T84.093D Other mechanical complication of internal left knee prosthesis, subsequent encounter
T84.093S Other mechanical complication of internal left knee prosthesis, sequela
T84.098A Other mechanical complication of other internal joint prosthesis, initial encounter
T84.098D Other mechanical complication of other internal joint prosthesis, subsequent encounter
T84.098S Other mechanical complication of other internal joint prosthesis, sequela
T84.099A Other mechanical complication of unspecified internal joint prosthesis, initial encounter
T84.099D Other mechanical complication of unspecified internal joint prosthesis, subsequent encounter
T84.099S Other mechanical complication of unspecified internal joint prosthesis, sequela
T84.110A Breakdown (mechanical) of internal fixation device of right humerus, initial encounter
T84.110D Breakdown (mechanical) of internal fixation device of right humerus, subsequent encounter
T84.110S Breakdown (mechanical) of internal fixation device of right humerus, sequela
211
T84.111A Breakdown (mechanical) of internal fixation device of left humerus, initial encounter
T84.111D Breakdown (mechanical) of internal fixation device of left humerus, subsequent encounter
T84.111S Breakdown (mechanical) of internal fixation device of left humerus, sequela
T84.112A Breakdown (mechanical) of internal fixation device of bone of right forearm, initial encounter
T84.112D Breakdown (mechanical) of internal fixation device of bone of right forearm, subsequent encounter
T84.112S Breakdown (mechanical) of internal fixation device of bone of right forearm, sequela
T84.113A Breakdown (mechanical) of internal fixation device of bone of left forearm, initial encounter
T84.113D Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter
T84.113S Breakdown (mechanical) of internal fixation device of bone of left forearm, sequela
T84.114A Breakdown (mechanical) of internal fixation device of right femur, initial encounter
T84.114D Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter
T84.114S Breakdown (mechanical) of internal fixation device of right femur, sequela
T84.115A Breakdown (mechanical) of internal fixation device of left femur, initial encounter
T84.115D Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter
T84.115S Breakdown (mechanical) of internal fixation device of left femur, sequela
T84.116A Breakdown (mechanical) of internal fixation device of bone of right lower leg, initial encounter
T84.116D Breakdown (mechanical) of internal fixation device of bone of right lower leg, subsequent encounter
T84.116S Breakdown (mechanical) of internal fixation device of bone of right lower leg, sequela
T84.117A Breakdown (mechanical) of internal fixation device of bone of left lower leg, initial encounter
T84.117D Breakdown (mechanical) of internal fixation device of bone of left lower leg, subsequent encounter
T84.117S Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela
T84.119A Breakdown (mechanical) of internal fixation device of unspecified bone of limb, initial encounter
T84.119D Breakdown (mechanical) of internal fixation device of unspecified bone of limb, subsequent encounter
T84.119S Breakdown (mechanical) of internal fixation device of unspecified bone of limb, sequela
T84.120A Displacement of internal fixation device of right humerus, initial encounter
T84.120D Displacement of internal fixation device of right humerus, subsequent encounter
T84.120S Displacement of internal fixation device of right humerus, sequela
T84.121A Displacement of internal fixation device of left humerus, initial encounter
T84.121D Displacement of internal fixation device of left humerus, subsequent encounter
T84.121S Displacement of internal fixation device of left humerus, sequela
T84.122A Displacement of internal fixation device of bone of right forearm, initial encounter
T84.122D Displacement of internal fixation device of bone of right forearm, subsequent encounter
T84.122S Displacement of internal fixation device of bone of right forearm, sequela
T84.123A Displacement of internal fixation device of bone of left forearm, initial encounter
T84.123D Displacement of internal fixation device of bone of left forearm, subsequent encounter
T84.123S Displacement of internal fixation device of bone of left forearm, sequela
T84.124A Displacement of internal fixation device of right femur, initial encounter
T84.124D Displacement of internal fixation device of right femur, subsequent encounter
T84.124S Displacement of internal fixation device of right femur, sequela
212
T84.125A Displacement of internal fixation device of left femur, initial encounter
T84.125D Displacement of internal fixation device of left femur, subsequent encounter
T84.125S Displacement of internal fixation device of left femur, sequela
T84.126A Displacement of internal fixation device of bone of right lower leg, initial encounter
T84.126D Displacement of internal fixation device of bone of right lower leg, subsequent encounter
T84.126S Displacement of internal fixation device of bone of right lower leg, sequela
T84.127A Displacement of internal fixation device of bone of left lower leg, initial encounter
T84.127D Displacement of internal fixation device of bone of left lower leg, subsequent encounter
T84.127S Displacement of internal fixation device of bone of left lower leg, sequela
T84.129A Displacement of internal fixation device of unspecified bone of limb, initial encounter
T84.129D Displacement of internal fixation device of unspecified bone of limb, subsequent encounter
T84.129S Displacement of internal fixation device of unspecified bone of limb, sequela
T84.190A Other mechanical complication of internal fixation device of right humerus, initial encounter
T84.190D Other mechanical complication of internal fixation device of right humerus, subsequent encounter
T84.190S Other mechanical complication of internal fixation device of right humerus, sequela
T84.191A Other mechanical complication of internal fixation device of left humerus, initial encounter
T84.191D Other mechanical complication of internal fixation device of left humerus, subsequent encounter
T84.191S Other mechanical complication of internal fixation device of left humerus, sequela
T84.192A Other mechanical complication of internal fixation device of bone of right forearm, initial encounter
T84.192D Other mechanical complication of internal fixation device of bone of right forearm, subsequent encounter
T84.192S Other mechanical complication of internal fixation device of bone of right forearm, sequela
T84.193A Other mechanical complication of internal fixation device of bone of left forearm, initial encounter
T84.193D Other mechanical complication of internal fixation device of bone of left forearm, subsequent encounter
T84.193S Other mechanical complication of internal fixation device of bone of left forearm, sequela
T84.194A Other mechanical complication of internal fixation device of right femur, initial encounter
T84.194D Other mechanical complication of internal fixation device of right femur, subsequent encounter
T84.194S Other mechanical complication of internal fixation device of right femur, sequela
T84.195A Other mechanical complication of internal fixation device of left femur, initial encounter
T84.195D Other mechanical complication of internal fixation device of left femur, subsequent encounter
T84.195S Other mechanical complication of internal fixation device of left femur, sequela
T84.196A Other mechanical complication of internal fixation device of bone of right lower leg, initial encounter
T84.196D Other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter
T84.196S Other mechanical complication of internal fixation device of bone of right lower leg, sequela
T84.197A Other mechanical complication of internal fixation device of bone of left lower leg, initial encounter
T84.197D Other mechanical complication of internal fixation device of bone of left lower leg, subsequent encounter
T84.197S Other mechanical complication of internal fixation device of bone of left lower leg, sequela
213
T84.199A Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter
T84.199D Other mechanical complication of internal fixation device of unspecified bone of limb, subsequent encounter
T84.199S Other mechanical complication of internal fixation device of unspecified bone of limb, sequela
T84.210A Breakdown (mechanical) of internal fixation device of bones of hand and fingers, initial encounter
T84.210D Breakdown (mechanical) of internal fixation device of bones of hand and fingers, subsequent encounter
T84.210S Breakdown (mechanical) of internal fixation device of bones of hand and fingers, sequela
T84.213A Breakdown (mechanical) of internal fixation device of bones of foot and toes, initial encounter
T84.213D Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter
T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes, sequela
T84.216A Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
T84.216D Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter
T84.216S Breakdown (mechanical) of internal fixation device of vertebrae, sequela
T84.218A Breakdown (mechanical) of internal fixation device of other bones, initial encounter
T84.218D Breakdown (mechanical) of internal fixation device of other bones, subsequent encounter
T84.218S Breakdown (mechanical) of internal fixation device of other bones, sequela
T84.220A Displacement of internal fixation device of bones of hand and fingers, initial encounter
T84.220D Displacement of internal fixation device of bones of hand and fingers, subsequent encounter
T84.220S Displacement of internal fixation device of bones of hand and fingers, sequela
T84.223A Displacement of internal fixation device of bones of foot and toes, initial encounter
T84.223D Displacement of internal fixation device of bones of foot and toes, subsequent encounter
T84.223S Displacement of internal fixation device of bones of foot and toes, sequela
T84.226A Displacement of internal fixation device of vertebrae, initial encounter
T84.226D Displacement of internal fixation device of vertebrae, subsequent encounter
T84.226S Displacement of internal fixation device of vertebrae, sequela
T84.228A Displacement of internal fixation device of other bones, initial encounter
T84.228D Displacement of internal fixation device of other bones, subsequent encounter
T84.228S Displacement of internal fixation device of other bones, sequela
T84.290A Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter
T84.290D Other mechanical complication of internal fixation device of bones of hand and fingers, subsequent encounter
T84.290S Other mechanical complication of internal fixation device of bones of hand and fingers, sequela
T84.293A Other mechanical complication of internal fixation device of bones of foot and toes, initial encounter
T84.293D Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter
T84.293S Other mechanical complication of internal fixation device of bones of foot and toes, sequela
T84.296A Other mechanical complication of internal fixation device of vertebrae, initial encounter
T84.296D Other mechanical complication of internal fixation device of vertebrae, subsequent encounter
214
T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela
T84.298A Other mechanical complication of internal fixation device of other bones, initial encounter
T84.298D Other mechanical complication of internal fixation device of other bones, subsequent encounter
T84.298S Other mechanical complication of internal fixation device of other bones, sequela
T84.310A Breakdown (mechanical) of electronic bone stimulator, initial encounter
T84.310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter
T84.310S Breakdown (mechanical) of electronic bone stimulator, sequela
T84.318A Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter
T84.318D Breakdown (mechanical) of other bone devices, implants and grafts, subsequent encounter
T84.318S Breakdown (mechanical) of other bone devices, implants and grafts, sequela
T84.320A Displacement of electronic bone stimulator, initial encounter
T84.320D Displacement of electronic bone stimulator, subsequent encounter
T84.320S Displacement of electronic bone stimulator, sequela
T84.328A Displacement of other bone devices, implants and grafts, initial encounter
T84.328D Displacement of other bone devices, implants and grafts, subsequent encounter
T84.328S Displacement of other bone devices, implants and grafts, sequela
T84.390A Other mechanical complication of electronic bone stimulator, initial encounter
T84.390D Other mechanical complication of electronic bone stimulator, subsequent encounter
T84.390S Other mechanical complication of electronic bone stimulator, sequela
T84.398A Other mechanical complication of other bone devices, implants and grafts, initial encounter
T84.398D Other mechanical complication of other bone devices, implants and grafts, subsequent encounter
T84.398S Other mechanical complication of other bone devices, implants and grafts, sequela
T84.410A Breakdown (mechanical) of muscle and tendon graft, initial encounter
T84.410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter
T84.410S Breakdown (mechanical) of muscle and tendon graft, sequela
T84.418A Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, initial encounter
T84.418D Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.418S Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, sequela
T84.420A Displacement of muscle and tendon graft, initial encounter
T84.420D Displacement of muscle and tendon graft, subsequent encounter
T84.420S Displacement of muscle and tendon graft, sequela
T84.428A Displacement of other internal orthopedic devices, implants and grafts, initial encounter
T84.428D Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.428S Displacement of other internal orthopedic devices, implants and grafts, sequela
T84.490A Other mechanical complication of muscle and tendon graft, initial encounter
T84.490D Other mechanical complication of muscle and tendon graft, subsequent encounter
T84.490S Other mechanical complication of muscle and tendon graft, sequela
T84.498A Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter
T84.498D Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter
215
T84.498S Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela
T85.01xA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01xD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01xS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02xA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02xD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02xS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03xA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03xD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03xS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09xA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09xD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09xS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of brain, sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, subsequent encounter
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela
T85.112A Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, initial encounter
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, subsequent encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of spinal cord, sequela
T85.118A Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118D Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
T85.118S Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.120A Displacement of implanted electronic neurostimulator (electrode) of brain, initial encounter
T85.120D Displacement of implanted electronic neurostimulator (electrode) of brain, subsequent encounter
T85.120S Displacement of implanted electronic neurostimulator (electrode) of brain, sequela
T85.121A Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, initial encounter
T85.121D Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, subsequent encounter
T85.121S Displacement of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela
216
T85.122A Displacement of implanted electronic neurostimulator (electrode) of spinal cord, initial encounter
T85.122D Displacement of implanted electronic neurostimulator (electrode) of spinal cord, subsequent encounter
T85.122S Displacement of implanted electronic neurostimulator (electrode) of spinal cord, sequela
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T85.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
T86.899 Unspecified complication of other transplanted tissue
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z01.818 Encounter for other preprocedural examination
Z48.23 Encounter for aftercare following liver transplant
217
Z52.4 Kidney donor
Z52.6 Liver donor
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.01 Personal history of malignant neoplasm of esophagus
Z85.020 Personal history of malignant carcinoid tumor of stomach
Z85.028 Personal history of other malignant neoplasm of stomach
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Z85.038 Personal history of other malignant neoplasm of large intestine
Z85.040 Personal history of malignant carcinoid tumor of rectum
Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
Z85.05 Personal history of malignant neoplasm of liver
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Z85.068 Personal history of other malignant neoplasm of small intestine
Z85.07 Personal history of malignant neoplasm of pancreas
Z85.09 Personal history of malignant neoplasm of other digestive organs
Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Z85.12 Personal history of malignant neoplasm of trachea
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
Z85.21 Personal history of malignant neoplasm of larynx
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Z85.230 Personal history of malignant carcinoid tumor of thymus
Z85.238 Personal history of other malignant neoplasm of thymus
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis
Z85.49 Personal history of malignant neoplasm of other male genital organs
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.520 Personal history of malignant carcinoid tumor of kidney
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.54 Personal history of malignant neoplasm of ureter
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
218
Z85.6 Personal history of leukemia
Z85.71 Personal history of Hodgkin lymphoma
Z85.72 Personal history of non-Hodgkin lymphomas
Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z85.810 Personal history of malignant neoplasm of tongue
Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Z85.820 Personal history of malignant melanoma of skin
Z85.821 Personal history of Merkel cell carcinoma
Z85.828 Personal history of other malignant neoplasm of skin
Z85.830 Personal history of malignant neoplasm of bone
Z85.831 Personal history of malignant neoplasm of soft tissue
Z85.840 Personal history of malignant neoplasm of eye
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
Z85.9 Personal history of malignant neoplasm, unspecified
Z87.442 Personal history of urinary calculi
Z94.4 Liver transplant status
Z98.890 Other specified postprocedural states
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT Codes CPT codes:
Code Description
74181 MRI abdomen without contrast
74182 MRI abdomen with contrast
74183 MRI abdomen without contrast, followed by re-imaging with contrast
The following ICD Diagnosis Codes are considered medically necessary when submitted with the CPT codes above if medical necessity criteria are met:
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
268
T81.49XS Infection following a procedure, other surgical site, sequela
T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter
T81.500D Unspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.500S Unspecified complication of foreign body accidentally left in body following surgical operation, sequela
T81.501A Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.501D Unspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.501S Unspecified complication of foreign body accidentally left in body following infusion or transfusion, sequela
T81.502A Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502D Unspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.502S Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela
T81.503A Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter
T81.503D Unspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.503S Unspecified complication of foreign body accidentally left in body following injection or immunization, sequela
T81.504A Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.504D Unspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.504S Unspecified complication of foreign body accidentally left in body following endoscopic examination, sequela
T81.505A Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter
T81.505D Unspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.505S Unspecified complication of foreign body accidentally left in body following heart catheterization, sequela
T81.506A Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.506D Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.506S Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.507A Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.507D Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.507S Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.508A Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter
T81.508D Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter
269
T81.508S Unspecified complication of foreign body accidentally left in body following other procedure, sequela
T81.509A Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.509D Unspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.509S Unspecified complication of foreign body accidentally left in body following unspecified procedure, sequela
T81.510A Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter
T81.510D Adhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.510S Adhesions due to foreign body accidentally left in body following surgical operation, sequela
T81.511A Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.511D Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.511S Adhesions due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.512A Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.512D Adhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.512S Adhesions due to foreign body accidentally left in body following kidney dialysis, sequela
T81.513A Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.513D Adhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.513S Adhesions due to foreign body accidentally left in body following injection or immunization, sequela
T81.514A Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.514D Adhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.514S Adhesions due to foreign body accidentally left in body following endoscopic examination, sequela
T81.515A Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.515D Adhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.515S Adhesions due to foreign body accidentally left in body following heart catheterization, sequela
T81.516A Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.516D Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.516S Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.517A Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.517D Adhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
270
T81.517S Adhesions due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.518A Adhesions due to foreign body accidentally left in body following other procedure, initial encounter
T81.518D Adhesions due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.518S Adhesions due to foreign body accidentally left in body following other procedure, sequela
T81.519A Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.519D Adhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.519S Adhesions due to foreign body accidentally left in body following unspecified procedure, sequela
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter
T81.520D Obstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.520S Obstruction due to foreign body accidentally left in body following surgical operation, sequela
T81.521A Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.521D Obstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.521S Obstruction due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.522A Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.522D Obstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.522S Obstruction due to foreign body accidentally left in body following kidney dialysis, sequela
T81.523A Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.523D Obstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.523S Obstruction due to foreign body accidentally left in body following injection or immunization, sequela
T81.524A Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.524D Obstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.524S Obstruction due to foreign body accidentally left in body following endoscopic examination, sequela
T81.525A Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.525D Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.525S Obstruction due to foreign body accidentally left in body following heart catheterization, sequela
T81.526A Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.526D Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
271
T81.526S Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.527A Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.527D Obstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.527S Obstruction due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.528A Obstruction due to foreign body accidentally left in body following other procedure, initial encounter
T81.528D Obstruction due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.528S Obstruction due to foreign body accidentally left in body following other procedure, sequela
T81.529A Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.529D Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.529S Obstruction due to foreign body accidentally left in body following unspecified procedure, sequela
T81.530A Perforation due to foreign body accidentally left in body following surgical operation, initial encounter
T81.530D Perforation due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.530S Perforation due to foreign body accidentally left in body following surgical operation, sequela
T81.531A Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.531D Perforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.531S Perforation due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.532A Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.532D Perforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.532S Perforation due to foreign body accidentally left in body following kidney dialysis, sequela
T81.533A Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.533D Perforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.533S Perforation due to foreign body accidentally left in body following injection or immunization, sequela
T81.534A Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534D Perforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.534S Perforation due to foreign body accidentally left in body following endoscopic examination, sequela
T81.535A Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.535D Perforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter
272
T81.535S Perforation due to foreign body accidentally left in body following heart catheterization, sequela
T81.536A Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.536D Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.536S Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.537A Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.537D Perforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.537S Perforation due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.538A Perforation due to foreign body accidentally left in body following other procedure, initial encounter
T81.538D Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.538S Perforation due to foreign body accidentally left in body following other procedure, sequela
T81.539A Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.539D Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.539S Perforation due to foreign body accidentally left in body following unspecified procedure, sequela
T81.590A Other complications of foreign body accidentally left in body following surgical operation, initial encounter
T81.590D Other complications of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.590S Other complications of foreign body accidentally left in body following surgical operation, sequela
T81.591A Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.591D Other complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.591S Other complications of foreign body accidentally left in body following infusion or transfusion, sequela
T81.592A Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.592D Other complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.592S Other complications of foreign body accidentally left in body following kidney dialysis, sequela
T81.593A Other complications of foreign body accidentally left in body following injection or immunization, initial encounter
T81.593D Other complications of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.593S Other complications of foreign body accidentally left in body following injection or immunization, sequela
T81.594A Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.594D Other complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter
273
T81.594S Other complications of foreign body accidentally left in body following endoscopic examination, sequela
T81.595A Other complications of foreign body accidentally left in body following heart catheterization, initial encounter
T81.595D Other complications of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.595S Other complications of foreign body accidentally left in body following heart catheterization, sequela
T81.596A Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.596D Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.596S Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.597A Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.597D Other complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.597S Other complications of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.598A Other complications of foreign body accidentally left in body following other procedure, initial encounter
T81.598D Other complications of foreign body accidentally left in body following other procedure, subsequent encounter
T81.598S Other complications of foreign body accidentally left in body following other procedure, sequela
T81.599A Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.599D Other complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.599S Other complications of foreign body accidentally left in body following unspecified procedure, sequela
T81.9xxA Unspecified complication of procedure, initial encounter
T81.9xxD Unspecified complication of procedure, subsequent encounter
T81.9xxS Unspecified complication of procedure, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
274
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
275
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41xA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41xD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41xS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42xA Displacement of vascular dialysis catheter, initial encounter
T82.42xD Displacement of vascular dialysis catheter, subsequent encounter
T82.42xS Displacement of vascular dialysis catheter, sequela
T82.43xA Leakage of vascular dialysis catheter, initial encounter
T82.43xD Leakage of vascular dialysis catheter, subsequent encounter
T82.43xS Leakage of vascular dialysis catheter, sequela
T82.49xA Other complication of vascular dialysis catheter, initial encounter
T82.49xD Other complication of vascular dialysis catheter, subsequent encounter
T82.49xS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.512A Breakdown (mechanical) of artificial heart, initial encounter
T82.512D Breakdown (mechanical) of artificial heart, subsequent encounter
T82.512S Breakdown (mechanical) of artificial heart, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.519A Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter
276
T82.519D Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.519S Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.522A Displacement of artificial heart, initial encounter
T82.522D Displacement of artificial heart, subsequent encounter
T82.522S Displacement of artificial heart, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.532A Leakage of artificial heart, initial encounter
T82.532D Leakage of artificial heart, subsequent encounter
T82.532S Leakage of artificial heart, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
277
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.539A Leakage of unspecified cardiac and vascular devices and implants, initial encounter
T82.539D Leakage of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.539S Leakage of unspecified cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.592A Other mechanical complication of artificial heart, initial encounter
T82.592D Other mechanical complication of artificial heart, subsequent encounter
T82.592S Other mechanical complication of artificial heart, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T82.599A Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter
T82.599D Other mechanical complication of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.599S Other mechanical complication of unspecified cardiac and vascular devices and implants, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
278
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
T83.022S Displacement of nephrostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.092A Other mechanical complication of nephrostomy catheter, initial encounter
T83.092D Other mechanical complication of nephrostomy catheter, subsequent encounter
T83.092S Other mechanical complication of nephrostomy catheter, sequela
T83.113A Breakdown (mechanical) of other urinary stents, initial encounter
T83.113D Breakdown (mechanical) of other urinary stents, subsequent encounter
T83.113S Breakdown (mechanical) of other urinary stents, sequela
T83.123A Displacement of other urinary stents, initial encounter
T83.123D Displacement of other urinary stents, subsequent encounter
T83.123S Displacement of other urinary stents, sequela
T83.193A Other mechanical complication of other urinary stent, initial encounter
T83.193D Other mechanical complication of other urinary stent, subsequent encounter
T83.193S Other mechanical complication of other urinary stent, sequela
T83.24XA Erosion of graft of urinary organ, initial encounter
T83.24XD Erosion of graft of urinary organ, subsequent encounter
T83.24XS Erosion of graft of urinary organ, sequela
T83.25XA Exposure of graft of urinary organ, initial encounter
T83.25XD Exposure of graft of urinary organ, subsequent encounter
T83.25XS Exposure of graft of urinary organ, sequela
T83.411A Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
T83.411D Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
T83.411S Breakdown (mechanical) of implanted testicular prosthesis, sequela
T83.421A Displacement of implanted testicular prosthesis, initial encounter
T83.421D Displacement of implanted testicular prosthesis, subsequent encounter
T83.421S Displacement of implanted testicular prosthesis, sequela
T83.491A Other mechanical complication of implanted testicular prosthesis, initial encounter
T83.491D Other mechanical complication of implanted testicular prosthesis, subsequent encounter
T83.491S Other mechanical complication of implanted testicular prosthesis, sequela
T83.498A Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.498D Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.498S Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, sequela
T83.510A Infection and inflammatory reaction due to cystostomy catheter, initial encounter
T83.510D Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter
T83.510S Infection and inflammatory reaction due to cystostomy catheter, sequela
T83.511A Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
279
T83.511D Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter
T83.511S Infection and inflammatory reaction due to indwelling urethral catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.518A Infection and inflammatory reaction due to other urinary catheter, initial encounter
T83.518D Infection and inflammatory reaction due to other urinary catheter, subsequent encounter
T83.518S Infection and inflammatory reaction due to other urinary catheter, sequela
T83.590A Infection and inflammatory reaction due to implanted urinary neurostimulation device, initial encounter
T83.590D Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter
T83.590S Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela
T83.591A Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter
T83.591D Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter
T83.591S Infection and inflammatory reaction due to implanted urinary sphincter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.593A Infection and inflammatory reaction due to other urinary stents, initial encounter
T83.593D Infection and inflammatory reaction due to other urinary stents, subsequent encounter
T83.593S Infection and inflammatory reaction due to other urinary stents, sequela
T83.598A Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter
T83.598D Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
T83.598S Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
T83.61XA Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
T83.61XD Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
T83.61XS Infection and inflammatory reaction due to implanted penile prosthesis, sequela
T83.62XA Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
T83.62XD Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
T83.62XS Infection and inflammatory reaction due to implanted testicular prosthesis, sequela
T83.69XA Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter
T83.69XD Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter
T83.69XS Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela
T83.712A Erosion of implanted urethral mesh to surrounding organ or tissue, initial encounter
280
T83.712D Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter
T83.712S Erosion of implanted urethral mesh to surrounding organ or tissue, sequela
T83.713A Erosion of implanted urethral bulking agent to surrounding organ or tissue, initial encounter
T83.713D Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter
T83.713S Erosion of implanted urethral bulking agent to surrounding organ or tissue, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.719A Erosion of other prosthetic materials to surrounding organ or tissue, initial encounter
T83.719D Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter
T83.719S Erosion of other prosthetic materials to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T83.729A Exposure of other prosthetic materials into organ or tissue, initial encounter
T83.729D Exposure of other prosthetic materials into organ or tissue, subsequent encounter
T83.729S Exposure of other prosthetic materials into organ or tissue, sequela
T83.79XA Other specified complications due to other prosthetic materials, initial encounter
T83.79XD Other specified complications due to other prosthetic materials, subsequent encounter
T83.79XS Other specified complications due to other prosthetic materials, sequela
T84.010A Broken internal right hip prosthesis, initial encounter
T84.010D Broken internal right hip prosthesis, subsequent encounter
T84.010S Broken internal right hip prosthesis, sequela
T84.011A Broken internal left hip prosthesis, initial encounter
T84.011D Broken internal left hip prosthesis, subsequent encounter
T84.011S Broken internal left hip prosthesis, sequela
T84.012D Broken internal right knee prosthesis, subsequent encounter
T84.012S Broken internal right knee prosthesis, sequela
T84.013D Broken internal left knee prosthesis, subsequent encounter
T84.013S Broken internal left knee prosthesis, sequela
T84.018D Broken internal joint prosthesis, other site, subsequent encounter
T84.018S Broken internal joint prosthesis, other site, sequela
T84.020A Dislocation of internal right hip prosthesis, initial encounter
T84.020D Dislocation of internal right hip prosthesis, subsequent encounter
T84.020S Dislocation of internal right hip prosthesis, sequela
T84.021A Dislocation of internal left hip prosthesis, initial encounter
T84.021D Dislocation of internal left hip prosthesis, subsequent encounter
T84.021S Dislocation of internal left hip prosthesis, sequela
T84.022D Instability of internal right knee prosthesis, subsequent encounter
T84.022S Instability of internal right knee prosthesis, sequela
T84.023D Instability of internal left knee prosthesis, subsequent encounter
T84.023S Instability of internal left knee prosthesis, sequela
T84.028D Dislocation of other internal joint prosthesis, subsequent encounter
T84.028S Dislocation of other internal joint prosthesis, sequela
T84.029D Dislocation of unspecified internal joint prosthesis, subsequent encounter
T84.029S Dislocation of unspecified internal joint prosthesis, sequela
T84.030A Mechanical loosening of internal right hip prosthetic joint, initial encounter
T84.030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter
T84.030S Mechanical loosening of internal right hip prosthetic joint, sequela
T84.031A Mechanical loosening of internal left hip prosthetic joint, initial encounter
T84.031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter
T84.031S Mechanical loosening of internal left hip prosthetic joint, sequela
T84.032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter
T84.032S Mechanical loosening of internal right knee prosthetic joint, sequela
T84.033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter
T84.033S Mechanical loosening of internal left knee prosthetic joint, sequela
T84.038D Mechanical loosening of other internal prosthetic joint, subsequent encounter
T84.038S Mechanical loosening of other internal prosthetic joint, sequela
T84.039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter
T84.039S Mechanical loosening of unspecified internal prosthetic joint, sequela
T84.050A Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
T84.050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter
T84.050S Periprosthetic osteolysis of internal prosthetic right hip joint, sequela
T84.051A Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
T84.051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter
T84.051S Periprosthetic osteolysis of internal prosthetic left hip joint, sequela
T84.052D Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.052S Periprosthetic osteolysis of internal prosthetic right knee joint, sequela
T84.053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
T84.053S Periprosthetic osteolysis of internal prosthetic left knee joint, sequela
T84.058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter
T84.058S Periprosthetic osteolysis of other internal prosthetic joint, sequela
T84.059D Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent encounter
T84.059S Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela
282
T84.060A Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84.060D Wear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
T84.060S Wear of articular bearing surface of internal prosthetic right hip joint, sequela
T84.061A Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
T84.061D Wear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
T84.061S Wear of articular bearing surface of internal prosthetic left hip joint, sequela
T84.062D Wear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
T84.062S Wear of articular bearing surface of internal prosthetic right knee joint, sequela
T84.063D Wear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
T84.063S Wear of articular bearing surface of internal prosthetic left knee joint, sequela
T84.068D Wear of articular bearing surface of other internal prosthetic joint, subsequent encounter
T84.068S Wear of articular bearing surface of other internal prosthetic joint, sequela
T84.069D Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
T84.069S Wear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.090A Other mechanical complication of internal right hip prosthesis, initial encounter
T84.090D Other mechanical complication of internal right hip prosthesis, subsequent encounter
T84.090S Other mechanical complication of internal right hip prosthesis, sequela
T84.091A Other mechanical complication of internal left hip prosthesis, initial encounter
T84.091D Other mechanical complication of internal left hip prosthesis, subsequent encounter
T84.091S Other mechanical complication of internal left hip prosthesis, sequela
T84.092D Other mechanical complication of internal right knee prosthesis, subsequent encounter
T84.092S Other mechanical complication of internal right knee prosthesis, sequela
T84.093D Other mechanical complication of internal left knee prosthesis, subsequent encounter
T84.093S Other mechanical complication of internal left knee prosthesis, sequela
T84.098D Other mechanical complication of other internal joint prosthesis, subsequent encounter
T84.098S Other mechanical complication of other internal joint prosthesis, sequela
T84.099D Other mechanical complication of unspecified internal joint prosthesis, subsequent encounter
T84.099S Other mechanical complication of unspecified internal joint prosthesis, sequela
T84.110D Breakdown (mechanical) of internal fixation device of right humerus, subsequent encounter
T84.110S Breakdown (mechanical) of internal fixation device of right humerus, sequela
T84.111D Breakdown (mechanical) of internal fixation device of left humerus, subsequent encounter
T84.111S Breakdown (mechanical) of internal fixation device of left humerus, sequela
T84.112D Breakdown (mechanical) of internal fixation device of bone of right forearm, subsequent encounter
T84.112S Breakdown (mechanical) of internal fixation device of bone of right forearm, sequela
T84.113D Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter
T84.113S Breakdown (mechanical) of internal fixation device of bone of left forearm, sequela
283
T84.114D Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter
T84.114S Breakdown (mechanical) of internal fixation device of right femur, sequela
T84.115D Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter
T84.115S Breakdown (mechanical) of internal fixation device of left femur, sequela
T84.116D Breakdown (mechanical) of internal fixation device of bone of right lower leg, subsequent encounter
T84.116S Breakdown (mechanical) of internal fixation device of bone of right lower leg, sequela
T84.117D Breakdown (mechanical) of internal fixation device of bone of left lower leg, subsequent encounter
T84.117S Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela
T84.119D Breakdown (mechanical) of internal fixation device of unspecified bone of limb, subsequent encounter
T84.119S Breakdown (mechanical) of internal fixation device of unspecified bone of limb, sequela
T84.120D Displacement of internal fixation device of right humerus, subsequent encounter
T84.120S Displacement of internal fixation device of right humerus, sequela
T84.121D Displacement of internal fixation device of left humerus, subsequent encounter
T84.121S Displacement of internal fixation device of left humerus, sequela
T84.122D Displacement of internal fixation device of bone of right forearm, subsequent encounter
T84.122S Displacement of internal fixation device of bone of right forearm, sequela
T84.123D Displacement of internal fixation device of bone of left forearm, subsequent encounter
T84.123S Displacement of internal fixation device of bone of left forearm, sequela
T84.124D Displacement of internal fixation device of right femur, subsequent encounter
T84.124S Displacement of internal fixation device of right femur, sequela
T84.125D Displacement of internal fixation device of left femur, subsequent encounter
T84.125S Displacement of internal fixation device of left femur, sequela
T84.126D Displacement of internal fixation device of bone of right lower leg, subsequent encounter
T84.126S Displacement of internal fixation device of bone of right lower leg, sequela
T84.127D Displacement of internal fixation device of bone of left lower leg, subsequent encounter
T84.127S Displacement of internal fixation device of bone of left lower leg, sequela
T84.129D Displacement of internal fixation device of unspecified bone of limb, subsequent encounter
T84.129S Displacement of internal fixation device of unspecified bone of limb, sequela
T84.190D Other mechanical complication of internal fixation device of right humerus, subsequent encounter
T84.190S Other mechanical complication of internal fixation device of right humerus, sequela
T84.191D Other mechanical complication of internal fixation device of left humerus, subsequent encounter
T84.191S Other mechanical complication of internal fixation device of left humerus, sequela
T84.192D Other mechanical complication of internal fixation device of bone of right forearm, subsequent encounter
T84.192S Other mechanical complication of internal fixation device of bone of right forearm, sequela
T84.193D Other mechanical complication of internal fixation device of bone of left forearm, subsequent encounter
284
T84.193S Other mechanical complication of internal fixation device of bone of left forearm, sequela
T84.194D Other mechanical complication of internal fixation device of right femur, subsequent encounter
T84.194S Other mechanical complication of internal fixation device of right femur, sequela
T84.195D Other mechanical complication of internal fixation device of left femur, subsequent encounter
T84.195S Other mechanical complication of internal fixation device of left femur, sequela
T84.196D Other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter
T84.196S Other mechanical complication of internal fixation device of bone of right lower leg, sequela
T84.197D Other mechanical complication of internal fixation device of bone of left lower leg, subsequent encounter
T84.197S Other mechanical complication of internal fixation device of bone of left lower leg, sequela
T84.199D Other mechanical complication of internal fixation device of unspecified bone of limb, subsequent encounter
T84.199S Other mechanical complication of internal fixation device of unspecified bone of limb, sequela
T84.210D Breakdown (mechanical) of internal fixation device of bones of hand and fingers, subsequent encounter
T84.210S Breakdown (mechanical) of internal fixation device of bones of hand and fingers, sequela
T84.213D Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter
T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes, sequela
T84.216D Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter
T84.216S Breakdown (mechanical) of internal fixation device of vertebrae, sequela
T84.218D Breakdown (mechanical) of internal fixation device of other bones, subsequent encounter
T84.218S Breakdown (mechanical) of internal fixation device of other bones, sequela
T84.220D Displacement of internal fixation device of bones of hand and fingers, subsequent encounter
T84.220S Displacement of internal fixation device of bones of hand and fingers, sequela
T84.223D Displacement of internal fixation device of bones of foot and toes, subsequent encounter
T84.223S Displacement of internal fixation device of bones of foot and toes, sequela
T84.226D Displacement of internal fixation device of vertebrae, subsequent encounter
T84.226S Displacement of internal fixation device of vertebrae, sequela
T84.228D Displacement of internal fixation device of other bones, subsequent encounter
T84.228S Displacement of internal fixation device of other bones, sequela
T84.290D Other mechanical complication of internal fixation device of bones of hand and fingers, subsequent encounter
T84.290S Other mechanical complication of internal fixation device of bones of hand and fingers, sequela
T84.293D Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter
T84.293S Other mechanical complication of internal fixation device of bones of foot and toes, sequela
285
T84.296D Other mechanical complication of internal fixation device of vertebrae, subsequent encounter
T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela
T84.298D Other mechanical complication of internal fixation device of other bones, subsequent encounter
T84.298S Other mechanical complication of internal fixation device of other bones, sequela
T84.310A Breakdown (mechanical) of electronic bone stimulator, initial encounter
T84.310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter
T84.310S Breakdown (mechanical) of electronic bone stimulator, sequela
T84.318A Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter
T84.318D Breakdown (mechanical) of other bone devices, implants and grafts, subsequent encounter
T84.318S Breakdown (mechanical) of other bone devices, implants and grafts, sequela
T84.320A Displacement of electronic bone stimulator, initial encounter
T84.320D Displacement of electronic bone stimulator, subsequent encounter
T84.320S Displacement of electronic bone stimulator, sequela
T84.328A Displacement of other bone devices, implants and grafts, initial encounter
T84.328D Displacement of other bone devices, implants and grafts, subsequent encounter
T84.328S Displacement of other bone devices, implants and grafts, sequela
T84.390A Other mechanical complication of electronic bone stimulator, initial encounter
T84.390D Other mechanical complication of electronic bone stimulator, subsequent encounter
T84.390S Other mechanical complication of electronic bone stimulator, sequela
T84.398A Other mechanical complication of other bone devices, implants and grafts, initial encounter
T84.398D Other mechanical complication of other bone devices, implants and grafts, subsequent encounter
T84.398S Other mechanical complication of other bone devices, implants and grafts, sequela
T84.410A Breakdown (mechanical) of muscle and tendon graft, initial encounter
T84.410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter
T84.410S Breakdown (mechanical) of muscle and tendon graft, sequela
T84.418A Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, initial encounter
T84.418D Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.418S Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, sequela
T84.420A Displacement of muscle and tendon graft, initial encounter
T84.420D Displacement of muscle and tendon graft, subsequent encounter
T84.420S Displacement of muscle and tendon graft, sequela
T84.428A Displacement of other internal orthopedic devices, implants and grafts, initial encounter
T84.428D Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.428S Displacement of other internal orthopedic devices, implants and grafts, sequela
T84.490A Other mechanical complication of muscle and tendon graft, initial encounter
T84.490D Other mechanical complication of muscle and tendon graft, subsequent encounter
T84.490S Other mechanical complication of muscle and tendon graft, sequela
286
T84.498A Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter
T84.498D Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.498S Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela
T85.01xA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01xD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01xS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02xA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02xD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02xS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03xA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03xD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03xS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09xA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09xD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09xS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode
(lead), sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), subsequent encounter
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), sequela
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), initial encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), subsequent encounter
T85.118A Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), sequela
T85.118D Displacement of implanted electronic neurostimulator of brain, electrode (lead), initial
encounter
T85.118S Displacement of implanted electronic neurostimulator of brain, electrode (lead),
subsequent encounter
T85.120A Displacement of implanted electronic neurostimulator of brain, electrode (lead),
sequela
T85.120D Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), initial encounter
287
T85.120S Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), subsequent encounter
T85.121A Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), sequela
T85.121D Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
initial encounter
T85.121S Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
subsequent encounter
T85.122D Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
sequela
T85.122S Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator of brain,
electrode (lead), subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator of brain,
electrode (lead), sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), subsequent encounter
T85.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela
T85.310D Breakdown (mechanical) of prosthetic orbit of right eye, subsequent encounter
T85.310S Breakdown (mechanical) of prosthetic orbit of right eye, sequela
T85.311D Breakdown (mechanical) of prosthetic orbit of left eye, subsequent encounter
T85.311S Breakdown (mechanical) of prosthetic orbit of left eye, sequela
T85.318D Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.318S Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela
288
T85.320D Displacement of prosthetic orbit of right eye, subsequent encounter
T85.320S Displacement of prosthetic orbit of right eye, sequela
T85.321D Displacement of prosthetic orbit of left eye, subsequent encounter
T85.321S Displacement of prosthetic orbit of left eye, sequela
T85.328D Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.328S Displacement of other ocular prosthetic devices, implants and grafts, sequela
T85.390D Other mechanical complication of prosthetic orbit of right eye, subsequent encounter
T85.390S Other mechanical complication of prosthetic orbit of right eye, sequela
T85.391D Other mechanical complication of prosthetic orbit of left eye, subsequent encounter
T85.391S Other mechanical complication of prosthetic orbit of left eye, sequela
T85.398A Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter
T85.398D Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.398S Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
T85.510A Breakdown (mechanical) of bile duct prosthesis, initial encounter
T85.510D Breakdown (mechanical) of bile duct prosthesis, subsequent encounter
T85.510S Breakdown (mechanical) of bile duct prosthesis, sequela
T85.511A Breakdown (mechanical) of esophageal anti-reflux device, initial encounter
T85.511D Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounter
T85.511S Breakdown (mechanical) of esophageal anti-reflux device, sequela
T85.518A Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
T85.518D Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
T85.518S Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, sequela
T85.520A Displacement of bile duct prosthesis, initial encounter
T85.520D Displacement of bile duct prosthesis, subsequent encounter
T85.520S Displacement of bile duct prosthesis, sequela
T85.521A Displacement of esophageal anti-reflux device, initial encounter
T85.521D Displacement of esophageal anti-reflux device, subsequent encounter
T85.521S Displacement of esophageal anti-reflux device, sequela
T85.528A Displacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
T85.528D Displacement of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
T85.528S Displacement of other gastrointestinal prosthetic devices, implants and grafts, sequela
T85.590A Other mechanical complication of bile duct prosthesis, initial encounter
T85.590D Other mechanical complication of bile duct prosthesis, subsequent encounter
T85.590S Other mechanical complication of bile duct prosthesis, sequela
T85.591A Other mechanical complication of esophageal anti-reflux device, initial encounter
T85.591D Other mechanical complication of esophageal anti-reflux device, subsequent encounter
T85.591S Other mechanical complication of esophageal anti-reflux device, sequela
289
T85.598A Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, initial encounter
T85.598D Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounter
T85.598S Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, sequela
T85.610A Breakdown (mechanical) of cranial or spinal infusion catheter, initial encounter
T85.610D Breakdown (mechanical) of cranial or spinal infusion catheter, subsequent encounter
T85.610S Breakdown (mechanical) of cranial or spinal infusion catheter, sequela
T85.611A Breakdown (mechanical) of intraperitoneal dialysis catheter, initial encounter
T85.611D Breakdown (mechanical) of intraperitoneal dialysis catheter, subsequent encounter
T85.611S Breakdown (mechanical) of intraperitoneal dialysis catheter, sequela
T85.612A Breakdown (mechanical) of permanent sutures, initial encounter
T85.612D Breakdown (mechanical) of permanent sutures, subsequent encounter
T85.612S Breakdown (mechanical) of permanent sutures, sequela
T85.618A Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, initial encounter
T85.618D Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, subsequent encounter
T85.618S Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, sequela
T85.620A Displacement of cranial or spinal infusion catheter, initial encounter
T85.620D Displacement of cranial or spinal infusion catheter, subsequent encounter
T85.620S Displacement of cranial or spinal infusion catheter, sequela
T85.621A Displacement of intraperitoneal dialysis catheter, initial encounter
T85.621D Displacement of intraperitoneal dialysis catheter, subsequent encounter
T85.621S Displacement of intraperitoneal dialysis catheter, sequela
T85.622A Displacement of permanent sutures, initial encounter
T85.622D Displacement of permanent sutures, subsequent encounter
T85.622S Displacement of permanent sutures, sequela
T85.628A Displacement of other specified internal prosthetic devices, implants and grafts, initial encounter
T85.628D Displacement of other specified internal prosthetic devices, implants and grafts, subsequent encounter
T85.628S Displacement of other specified internal prosthetic devices, implants and grafts, sequela
T85.630A Leakage of cranial or spinal infusion catheter, initial encounter
T85.630D Leakage of cranial or spinal infusion catheter, subsequent encounter
T85.630S Leakage of cranial or spinal infusion catheter, sequela
T85.631A Leakage of intraperitoneal dialysis catheter, initial encounter
T85.631D Leakage of intraperitoneal dialysis catheter, subsequent encounter
T85.631S Leakage of intraperitoneal dialysis catheter, sequela
T85.638A Leakage of other specified internal prosthetic devices, implants and grafts, initial encounter
T85.638D Leakage of other specified internal prosthetic devices, implants and grafts, subsequent encounter
T85.638S Leakage of other specified internal prosthetic devices, implants and grafts, sequela
290
T85.690A Other mechanical complication of epidural and subdural infusion catheter, initial encounter
T85.690D Other mechanical complication of epidural and subdural infusion catheter, subsequent encounter
T85.690S Other mechanical complication of epidural and subdural infusion catheter, sequela
T85.691A Other mechanical complication of intraperitoneal dialysis catheter, initial encounter
T85.691D Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounter
T85.691S Other mechanical complication of intraperitoneal dialysis catheter, sequela
T85.692A Other mechanical complication of permanent sutures, initial encounter
T85.692D Other mechanical complication of permanent sutures, subsequent encounter
T85.692S Other mechanical complication of permanent sutures, sequela
T85.698A Other mechanical complication of cranial or spinal infusion catheter, initial encounter
T85.698D Other mechanical complication of cranial or spinal infusion catheter, subsequent
encounter
T85.698S Other mechanical complication of cranial or spinal infusion catheter, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
T86.899 Unspecified complication of other transplanted tissue
T86.90 Unspecified complication of unspecified transplanted organ and tissue
T86.91 Unspecified transplanted organ and tissue rejection
T86.92 Unspecified transplanted organ and tissue failure
T86.93 Unspecified transplanted organ and tissue infection
T86.99 Other complications of unspecified transplanted organ and tissue
T88.8xxD Other specified complications of surgical and medical care, not elsewhere classified, subsequent encounter
T88.8xxS Other specified complications of surgical and medical care, not elsewhere classified, sequela
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z48.21 Encounter for aftercare following heart transplant
Z48.22 Encounter for aftercare following kidney transplant
Z48.23 Encounter for aftercare following liver transplant
Z48.280 Encounter for aftercare following heart-lung transplant
Z48.298 Encounter for aftercare following other organ transplant
291
Z52.4 Kidney donor
Z52.6 Liver donor
Z80.0 Family history of malignant neoplasm of digestive organs
Z80.51 Family history of malignant neoplasm of kidney
Z85.3 Personal history of malignant neoplasm of breast
Z85.43 Personal history of malignant neoplasm of ovary
Z85.47 Personal history of malignant neoplasm of testis
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.54 Personal history of malignant neoplasm of ureter
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
Z90.5 Acquired absence of kidney
Z93.3 Colostomy status
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Z94.3 Heart and lungs transplant status
Z94.4 Liver transplant status
Z94.82 Intestine transplant status
Z94.83 Pancreas transplant status
Z94.89 Other transplanted organ and tissue status
Z96.641 Presence of right artificial hip joint
Z96.642 Presence of left artificial hip joint
Z96.643 Presence of artificial hip joint, bilateral
Z96.649 Presence of unspecified artificial hip joint
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT Codes
CPT codes: Code Description
72195 MRI pelvis without contrast
72196 MRI pelvis with contrast
72197 MRI pelvis without contrast, followed by re-imaging with contrast
The following ICD Diagnosis Codes are considered medically necessary when submitted with the CPT codes above if medical necessity criteria are met:
G57.00 Lesion of sciatic nerve, unspecified lower limb
G57.01 Lesion of sciatic nerve, right lower limb
G57.02 Lesion of sciatic nerve, left lower limb
G57.03 Lesion of sciatic nerve, bilateral lower limbs
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0 Renovascular hypertension
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified
I70.0 Atherosclerosis of aorta
I71.00 Dissection of unspecified site of aorta
I71.01 Dissection of thoracic aorta
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
I71.9 Aortic aneurysm of unspecified site, without rupture
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.8 Aneurysm of other specified arteries
298
I74.01 Saddle Embolus Of Abdominal Aorta
I74.09 Other Arterial Embolism And Thrombosis Of Abdominal Aorta
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.4 Celiac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.819 Aortic ectasia, unspecified site
I77.89 Other specified disorders of arteries and arterioles
I77.9 Disorder of arteries and arterioles, unspecified
I79.0 Aneurysm of aorta in diseases classified elsewhere
I81 Portal vein thrombosis
I82.0 Budd-Chiari syndrome
I82.3 Embolism and thrombosis of renal vein
I85.00 Esophageal varices without bleeding
I85.01 Esophageal varices with bleeding
I86.2 Pelvic varices
I88.0 Nonspecific mesenteric lymphadenitis
I89.0 Lymphedema, not elsewhere classified
J86.0 Pyothorax with fistula
K21.9 Gastro-esophageal reflux disease without esophagitis
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
376
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
T81.49XS Infection following a procedure, other surgical site, sequela
T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter
T81.500D Unspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.500S Unspecified complication of foreign body accidentally left in body following surgical operation, sequela
T81.501A Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.501D Unspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.501S Unspecified complication of foreign body accidentally left in body following infusion or transfusion, sequela
T81.502A Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502D Unspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.502S Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela
T81.503A Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter
T81.503D Unspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.503S Unspecified complication of foreign body accidentally left in body following injection or immunization, sequela
T81.504A Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.504D Unspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.504S Unspecified complication of foreign body accidentally left in body following endoscopic examination, sequela
T81.505A Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter
T81.505D Unspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter
377
T81.505S Unspecified complication of foreign body accidentally left in body following heart catheterization, sequela
T81.506A Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.506D Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.506S Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.507A Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.507D Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.507S Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.508A Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter
T81.508D Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter
T81.508S Unspecified complication of foreign body accidentally left in body following other procedure, sequela
T81.509A Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.509D Unspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.509S Unspecified complication of foreign body accidentally left in body following unspecified procedure, sequela
T81.510A Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter
T81.510D Adhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.510S Adhesions due to foreign body accidentally left in body following surgical operation, sequela
T81.511A Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.511D Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.511S Adhesions due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.512A Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.512D Adhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.512S Adhesions due to foreign body accidentally left in body following kidney dialysis, sequela
T81.513A Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.513D Adhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.513S Adhesions due to foreign body accidentally left in body following injection or immunization, sequela
T81.514A Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.514D Adhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
378
T81.514S Adhesions due to foreign body accidentally left in body following endoscopic examination, sequela
T81.515A Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.515D Adhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.515S Adhesions due to foreign body accidentally left in body following heart catheterization, sequela
T81.516A Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.516D Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.516S Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.517A Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.517D Adhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.517S Adhesions due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.518A Adhesions due to foreign body accidentally left in body following other procedure, initial encounter
T81.518D Adhesions due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.518S Adhesions due to foreign body accidentally left in body following other procedure, sequela
T81.519A Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.519D Adhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.519S Adhesions due to foreign body accidentally left in body following unspecified procedure, sequela
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter
T81.520D Obstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.520S Obstruction due to foreign body accidentally left in body following surgical operation, sequela
T81.521A Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.521D Obstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.521S Obstruction due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.522A Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.522D Obstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.522S Obstruction due to foreign body accidentally left in body following kidney dialysis, sequela
T81.523A Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.523D Obstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter
379
T81.523S Obstruction due to foreign body accidentally left in body following injection or immunization, sequela
T81.524A Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.524D Obstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.524S Obstruction due to foreign body accidentally left in body following endoscopic examination, sequela
T81.525A Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.525D Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.525S Obstruction due to foreign body accidentally left in body following heart catheterization, sequela
T81.526A Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.526D Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.526S Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.527A Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.527D Obstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.527S Obstruction due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.528A Obstruction due to foreign body accidentally left in body following other procedure, initial encounter
T81.528D Obstruction due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.528S Obstruction due to foreign body accidentally left in body following other procedure, sequela
T81.529A Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.529D Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.529S Obstruction due to foreign body accidentally left in body following unspecified procedure, sequela
T81.530A Perforation due to foreign body accidentally left in body following surgical operation, initial encounter
T81.530D Perforation due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.530S Perforation due to foreign body accidentally left in body following surgical operation, sequela
T81.531A Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.531D Perforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.531S Perforation due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.532A Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.532D Perforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
380
T81.532S Perforation due to foreign body accidentally left in body following kidney dialysis, sequela
T81.533A Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.533D Perforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.533S Perforation due to foreign body accidentally left in body following injection or immunization, sequela
T81.534A Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534D Perforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.534S Perforation due to foreign body accidentally left in body following endoscopic examination, sequela
T81.535A Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.535D Perforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.535S Perforation due to foreign body accidentally left in body following heart catheterization, sequela
T81.536A Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.536D Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.536S Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.537A Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.537D Perforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.537S Perforation due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.538A Perforation due to foreign body accidentally left in body following other procedure, initial encounter
T81.538D Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.538S Perforation due to foreign body accidentally left in body following other procedure, sequela
T81.539A Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.539D Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.539S Perforation due to foreign body accidentally left in body following unspecified procedure, sequela
T81.590A Other complications of foreign body accidentally left in body following surgical operation, initial encounter
T81.590D Other complications of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.590S Other complications of foreign body accidentally left in body following surgical operation, sequela
T81.591A Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.591D Other complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
381
T81.591S Other complications of foreign body accidentally left in body following infusion or transfusion, sequela
T81.592A Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.592D Other complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.592S Other complications of foreign body accidentally left in body following kidney dialysis, sequela
T81.593A Other complications of foreign body accidentally left in body following injection or immunization, initial encounter
T81.593D Other complications of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.593S Other complications of foreign body accidentally left in body following injection or immunization, sequela
T81.594A Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.594D Other complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.594S Other complications of foreign body accidentally left in body following endoscopic examination, sequela
T81.595A Other complications of foreign body accidentally left in body following heart catheterization, initial encounter
T81.595D Other complications of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.595S Other complications of foreign body accidentally left in body following heart catheterization, sequela
T81.596A Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.596D Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.596S Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.597A Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.597D Other complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.597S Other complications of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.598A Other complications of foreign body accidentally left in body following other procedure, initial encounter
T81.598D Other complications of foreign body accidentally left in body following other procedure, subsequent encounter
T81.598S Other complications of foreign body accidentally left in body following other procedure, sequela
T81.599A Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.599D Other complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.599S Other complications of foreign body accidentally left in body following unspecified procedure, sequela
T81.9xxA Unspecified complication of procedure, initial encounter
T81.9xxD Unspecified complication of procedure, subsequent encounter
T81.9xxS Unspecified complication of procedure, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
382
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
383
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41xA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41xD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41xS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42xA Displacement of vascular dialysis catheter, initial encounter
T82.42xD Displacement of vascular dialysis catheter, subsequent encounter
T82.42xS Displacement of vascular dialysis catheter, sequela
T82.43xA Leakage of vascular dialysis catheter, initial encounter
T82.43xD Leakage of vascular dialysis catheter, subsequent encounter
T82.43xS Leakage of vascular dialysis catheter, sequela
T82.49xA Other complication of vascular dialysis catheter, initial encounter
T82.49xD Other complication of vascular dialysis catheter, subsequent encounter
T82.49xS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
384
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
385
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T83.010A Breakdown (mechanical) of cystostomy catheter, initial encounter
T83.010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter
T83.010S Breakdown (mechanical) of cystostomy catheter, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter
T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter
T83.018S Breakdown (mechanical) of other urinary catheter, sequela
T83.020A Displacement of cystostomy catheter, initial encounter
T83.020D Displacement of cystostomy catheter, subsequent encounter
T83.020S Displacement of cystostomy catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
386
T83.022S Displacement of nephrostomy catheter, sequela
T83.028A Displacement of other urinary catheter, initial encounter
T83.028D Displacement of other urinary catheter, subsequent encounter
T83.028S Displacement of other urinary catheter, sequela
T83.030A Leakage of cystostomy catheter, initial encounter
T83.030D Leakage of cystostomy catheter, subsequent encounter
T83.030S Leakage of cystostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.038A Leakage of other urinary catheter, initial encounter
T83.038D Leakage of other urinary catheter, subsequent encounter
T83.038S Leakage of other urinary catheter, sequela
T83.090A Other mechanical complication of cystostomy catheter, initial encounter
T83.090D Other mechanical complication of cystostomy catheter, subsequent encounter
T83.090S Other mechanical complication of cystostomy catheter, sequela
T83.092A Other mechanical complication of nephrostomy catheter, initial encounter
T83.092D Other mechanical complication of nephrostomy catheter, subsequent encounter
T83.092S Other mechanical complication of nephrostomy catheter, sequela
T83.098A Other mechanical complication of other urinary catheter, initial encounter
T83.098D Other mechanical complication of other urinary catheter, subsequent encounter
T83.098S Other mechanical complication of other urinary catheter, sequela
T83.110A Breakdown (mechanical) of urinary electronic stimulator device, initial encounter
T83.110D Breakdown (mechanical) of urinary electronic stimulator device, subsequent encounter
T83.110S Breakdown (mechanical) of urinary electronic stimulator device, sequela
T83.111A Breakdown (mechanical) of implanted urinary sphincter, initial encounter
T83.111D Breakdown (mechanical) of implanted urinary sphincter, subsequent encounter
T83.111S Breakdown (mechanical) of implanted urinary sphincter, sequela
T83.112A Breakdown (mechanical) of indwelling ureteral stent, initial encounter
T83.112D Breakdown (mechanical) of indwelling ureteral stent, subsequent encounter
T83.112S Breakdown (mechanical) of indwelling ureteral stent, sequela
T83.113A Breakdown (mechanical) of other urinary stents, initial encounter
T83.113D Breakdown (mechanical) of other urinary stents, subsequent encounter
T83.113S Breakdown (mechanical) of other urinary stents, sequela
T83.118A Breakdown (mechanical) of other urinary devices and implants, initial encounter
T83.118D Breakdown (mechanical) of other urinary devices and implants, subsequent encounter
T83.118S Breakdown (mechanical) of other urinary devices and implants, sequela
T83.120A Displacement of urinary electronic stimulator device, initial encounter
T83.120D Displacement of urinary electronic stimulator device, subsequent encounter
T83.120S Displacement of urinary electronic stimulator device, sequela
T83.121A Displacement of urinary sphincter implant, initial encounter
T83.121D Displacement of urinary sphincter implant, subsequent encounter
T83.121S Displacement of urinary sphincter implant, sequela
387
T83.122A Displacement of indwelling ureteral stent, initial encounter
T83.122D Displacement of indwelling ureteral stent, subsequent encounter
T83.122S Displacement of indwelling ureteral stent, sequela
T83.123A Displacement of other urinary stents, initial encounter
T83.123D Displacement of other urinary stents, subsequent encounter
T83.123S Displacement of other urinary stents, sequela
T83.128A Displacement of other urinary devices and implants, initial encounter
T83.128D Displacement of other urinary devices and implants, subsequent encounter
T83.128S Displacement of other urinary devices and implants, sequela
T83.190A Other mechanical complication of urinary electronic stimulator device, initial encounter
T83.190D Other mechanical complication of urinary electronic stimulator device, subsequent encounter
T83.190S Other mechanical complication of urinary electronic stimulator device, sequela
T83.191A Other mechanical complication of implanted urinary sphincter, initial encounter
T83.191D Other mechanical complication of implanted urinary sphincter, subsequent encounter
T83.191S Other mechanical complication of implanted urinary sphincter, sequela
T83.192A Other mechanical complication of indwelling ureteral stent, initial encounter
T83.192D Other mechanical complication of indwelling ureteral stent, subsequent encounter
T83.192S Other mechanical complication of indwelling ureteral stent, sequela
T83.193A Other mechanical complication of other urinary stent, initial encounter
T83.193D Other mechanical complication of other urinary stent, subsequent encounter
T83.193S Other mechanical complication of other urinary stent, sequela
T83.198A Other mechanical complication of other urinary devices and implants, initial encounter
T83.198D Other mechanical complication of other urinary devices and implants, subsequent encounter
T83.198S Other mechanical complication of other urinary devices and implants, sequela
T83.21xA Breakdown (mechanical) of graft of urinary organ, initial encounter
T83.21xD Breakdown (mechanical) of graft of urinary organ, subsequent encounter
T83.21xS Breakdown (mechanical) of graft of urinary organ, sequela
T83.22xA Displacement of graft of urinary organ, initial encounter
T83.22xD Displacement of graft of urinary organ, subsequent encounter
T83.22xS Displacement of graft of urinary organ, sequela
T83.23xA Leakage of graft of urinary organ, initial encounter
T83.23xD Leakage of graft of urinary organ, subsequent encounter
T83.23xS Leakage of graft of urinary organ, sequela
T83.24XA Erosion of graft of urinary organ, initial encounter
T83.24XD Erosion of graft of urinary organ, subsequent encounter
T83.24XS Erosion of graft of urinary organ, sequela
T83.25XA Exposure of graft of urinary organ, initial encounter
T83.25XD Exposure of graft of urinary organ, subsequent encounter
T83.25XS Exposure of graft of urinary organ, sequela
T83.29xA Other mechanical complication of graft of urinary organ, initial encounter
T83.29xD Other mechanical complication of graft of urinary organ, subsequent encounter
T83.29xS Other mechanical complication of graft of urinary organ, sequela
388
T83.31xA Breakdown (mechanical) of intrauterine contraceptive device, initial encounter
T83.31xD Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter
T83.31xS Breakdown (mechanical) of intrauterine contraceptive device, sequela
T83.32xA Displacement of intrauterine contraceptive device, initial encounter
T83.32xD Displacement of intrauterine contraceptive device, subsequent encounter
T83.32xS Displacement of intrauterine contraceptive device, sequela
T83.39xA Other mechanical complication of intrauterine contraceptive device, initial encounter
T83.39xD Other mechanical complication of intrauterine contraceptive device, subsequent encounter
T83.39xS Other mechanical complication of intrauterine contraceptive device, sequela
T83.410A Breakdown (mechanical) of implanted penile prosthesis, initial encounter
T83.410D Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter
T83.410S Breakdown (mechanical) of implanted penile prosthesis, sequela
T83.411A Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
T83.411D Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
T83.411S Breakdown (mechanical) of implanted testicular prosthesis, sequela
T83.418A Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.418D Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.418S Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, sequela
T83.420A Displacement of implanted penile prosthesis, initial encounter
T83.420D Displacement of implanted penile prosthesis, subsequent encounter
T83.420S Displacement of implanted penile prosthesis, sequela
T83.421A Displacement of implanted testicular prosthesis, initial encounter
T83.421D Displacement of implanted testicular prosthesis, subsequent encounter
T83.421S Displacement of implanted testicular prosthesis, sequela
T83.428A Displacement of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.428D Displacement of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.428S Displacement of other prosthetic devices, implants and grafts of genital tract, sequela
T83.490A Other mechanical complication of implanted penile prosthesis, initial encounter
T83.490D Other mechanical complication of implanted penile prosthesis, subsequent encounter
T83.490S Other mechanical complication of implanted penile prosthesis, sequela
T83.491A Other mechanical complication of implanted testicular prosthesis, initial encounter
T83.491D Other mechanical complication of implanted testicular prosthesis, subsequent encounter
T83.491S Other mechanical complication of implanted testicular prosthesis, sequela
T83.498A Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.498D Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.498S Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, sequela
T83.510A Infection and inflammatory reaction due to cystostomy catheter, initial encounter
389
T83.510D Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter
T83.510S Infection and inflammatory reaction due to cystostomy catheter, sequela
T83.511A Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
T83.511D Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter
T83.511S Infection and inflammatory reaction due to indwelling urethral catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.518A Infection and inflammatory reaction due to other urinary catheter, initial encounter
T83.518D Infection and inflammatory reaction due to other urinary catheter, subsequent encounter
T83.518S Infection and inflammatory reaction due to other urinary catheter, sequela
T83.590A Infection and inflammatory reaction due to implanted urinary neurostimulation device, initial encounter
T83.590D Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter
T83.590S Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela
T83.591A Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter
T83.591D Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter
T83.591S Infection and inflammatory reaction due to implanted urinary sphincter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.593A Infection and inflammatory reaction due to other urinary stents, initial encounter
T83.593D Infection and inflammatory reaction due to other urinary stents, subsequent encounter
T83.593S Infection and inflammatory reaction due to other urinary stents, sequela
T83.598A Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter
T83.598D Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
T83.598S Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
T83.61XA Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
T83.61XD Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
T83.61XS Infection and inflammatory reaction due to implanted penile prosthesis, sequela
T83.62XA Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
T83.62XD Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
T83.62XS Infection and inflammatory reaction due to implanted testicular prosthesis, sequela
T83.69XA Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter
390
T83.69XD Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter
T83.69XS Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela
T83.712A Erosion of implanted urethral mesh to surrounding organ or tissue, initial encounter
T83.712D Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter
T83.712S Erosion of implanted urethral mesh to surrounding organ or tissue, sequela
T83.713A Erosion of implanted urethral bulking agent to surrounding organ or tissue, initial encounter
T83.713D Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter
T83.713S Erosion of implanted urethral bulking agent to surrounding organ or tissue, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.718A Erosion of other implanted mesh to organ or tissue, initial encounter
T83.718D Erosion of other implanted mesh to organ or tissue, subsequent encounter
T83.718S Erosion of other implanted mesh to organ or tissue, sequela
T83.719A Erosion of other prosthetic materials to surrounding organ or tissue, initial encounter
T83.719D Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter
T83.719S Erosion of other prosthetic materials to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T83.728A Exposure of other implanted mesh into organ or tissue, initial encounter
T83.728D Exposure of other implanted mesh into organ or tissue, subsequent encounter
T83.728S Exposure of other implanted mesh into organ or tissue, sequela
T83.729A Exposure of other prosthetic materials into organ or tissue, initial encounter
T83.729D Exposure of other prosthetic materials into organ or tissue, subsequent encounter
T83.729S Exposure of other prosthetic materials into organ or tissue, sequela
T83.79XA Other specified complications due to other prosthetic materials, initial encounter
T83.79XD Other specified complications due to other prosthetic materials, subsequent encounter
T83.79XS Other specified complications due to other prosthetic materials, sequela
T84.010A Broken internal right hip prosthesis, initial encounter
T84.010D Broken internal right hip prosthesis, subsequent encounter
T84.010S Broken internal right hip prosthesis, sequela
391
T84.011A Broken internal left hip prosthesis, initial encounter
T84.011D Broken internal left hip prosthesis, subsequent encounter
T84.011S Broken internal left hip prosthesis, sequela
T84.012A Broken internal right knee prosthesis, initial encounter
T84.012D Broken internal right knee prosthesis, subsequent encounter
T84.012S Broken internal right knee prosthesis, sequela
T84.013A Broken internal left knee prosthesis, initial encounter
T84.013D Broken internal left knee prosthesis, subsequent encounter
T84.013S Broken internal left knee prosthesis, sequela
T84.018A Broken internal joint prosthesis, other site, initial encounter
T84.018D Broken internal joint prosthesis, other site, subsequent encounter
T84.018S Broken internal joint prosthesis, other site, sequela
T84.020A Dislocation of internal right hip prosthesis, initial encounter
T84.020D Dislocation of internal right hip prosthesis, subsequent encounter
T84.020S Dislocation of internal right hip prosthesis, sequela
T84.021A Dislocation of internal left hip prosthesis, initial encounter
T84.021D Dislocation of internal left hip prosthesis, subsequent encounter
T84.021S Dislocation of internal left hip prosthesis, sequela
T84.022A Instability of internal right knee prosthesis, initial encounter
T84.022D Instability of internal right knee prosthesis, subsequent encounter
T84.022S Instability of internal right knee prosthesis, sequela
T84.023A Instability of internal left knee prosthesis, initial encounter
T84.023D Instability of internal left knee prosthesis, subsequent encounter
T84.023S Instability of internal left knee prosthesis, sequela
T84.028A Dislocation of other internal joint prosthesis, initial encounter
T84.028D Dislocation of other internal joint prosthesis, subsequent encounter
T84.028S Dislocation of other internal joint prosthesis, sequela
T84.029A Dislocation of unspecified internal joint prosthesis, initial encounter
T84.029D Dislocation of unspecified internal joint prosthesis, subsequent encounter
T84.029S Dislocation of unspecified internal joint prosthesis, sequela
T84.030A Mechanical loosening of internal right hip prosthetic joint, initial encounter
T84.030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter
T84.030S Mechanical loosening of internal right hip prosthetic joint, sequela
T84.031A Mechanical loosening of internal left hip prosthetic joint, initial encounter
T84.031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter
T84.031S Mechanical loosening of internal left hip prosthetic joint, sequela
T84.032A Mechanical loosening of internal right knee prosthetic joint, initial encounter
T84.032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter
T84.032S Mechanical loosening of internal right knee prosthetic joint, sequela
T84.033A Mechanical loosening of internal left knee prosthetic joint, initial encounter
392
T84.033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter
T84.033S Mechanical loosening of internal left knee prosthetic joint, sequela
T84.038A Mechanical loosening of other internal prosthetic joint, initial encounter
T84.038D Mechanical loosening of other internal prosthetic joint, subsequent encounter
T84.038S Mechanical loosening of other internal prosthetic joint, sequela
T84.039A Mechanical loosening of unspecified internal prosthetic joint, initial encounter
T84.039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter
T84.039S Mechanical loosening of unspecified internal prosthetic joint, sequela
T84.050A Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
T84.050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter
T84.050S Periprosthetic osteolysis of internal prosthetic right hip joint, sequela
T84.051A Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
T84.051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter
T84.051S Periprosthetic osteolysis of internal prosthetic left hip joint, sequela
T84.052A Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter
T84.052D Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.052S Periprosthetic osteolysis of internal prosthetic right knee joint, sequela
T84.053A Periprosthetic osteolysis of internal prosthetic left knee joint, initial encounter
T84.053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
T84.053S Periprosthetic osteolysis of internal prosthetic left knee joint, sequela
T84.058A Periprosthetic osteolysis of other internal prosthetic joint, initial encounter
T84.058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter
T84.058S Periprosthetic osteolysis of other internal prosthetic joint, sequela
T84.059A Periprosthetic osteolysis of unspecified internal prosthetic joint, initial encounter
T84.059D Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent encounter
T84.059S Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela
T84.060A Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84.060D Wear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
T84.060S Wear of articular bearing surface of internal prosthetic right hip joint, sequela
T84.061A Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
T84.061D Wear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
T84.061S Wear of articular bearing surface of internal prosthetic left hip joint, sequela
T84.062A Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter
T84.062D Wear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
T84.062S Wear of articular bearing surface of internal prosthetic right knee joint, sequela
T84.063A Wear of articular bearing surface of internal prosthetic left knee joint, initial encounter
T84.063D Wear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
T84.063S Wear of articular bearing surface of internal prosthetic left knee joint, sequela
T84.068A Wear of articular bearing surface of other internal prosthetic joint, initial encounter
T84.068D Wear of articular bearing surface of other internal prosthetic joint, subsequent encounter
393
T84.068S Wear of articular bearing surface of other internal prosthetic joint, sequela
T84.069A Wear of articular bearing surface of unspecified internal prosthetic joint, initial encounter
T84.069D Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
T84.069S Wear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.090A Other mechanical complication of internal right hip prosthesis, initial encounter
T84.090D Other mechanical complication of internal right hip prosthesis, subsequent encounter
T84.090S Other mechanical complication of internal right hip prosthesis, sequela
T84.091A Other mechanical complication of internal left hip prosthesis, initial encounter
T84.091D Other mechanical complication of internal left hip prosthesis, subsequent encounter
T84.091S Other mechanical complication of internal left hip prosthesis, sequela
T84.092A Other mechanical complication of internal right knee prosthesis, initial encounter
T84.092D Other mechanical complication of internal right knee prosthesis, subsequent encounter
T84.092S Other mechanical complication of internal right knee prosthesis, sequela
T84.093A Other mechanical complication of internal left knee prosthesis, initial encounter
T84.093D Other mechanical complication of internal left knee prosthesis, subsequent encounter
T84.093S Other mechanical complication of internal left knee prosthesis, sequela
T84.098A Other mechanical complication of other internal joint prosthesis, initial encounter
T84.098D Other mechanical complication of other internal joint prosthesis, subsequent encounter
T84.098S Other mechanical complication of other internal joint prosthesis, sequela
T84.099A Other mechanical complication of unspecified internal joint prosthesis, initial encounter
T84.099D Other mechanical complication of unspecified internal joint prosthesis, subsequent encounter
T84.099S Other mechanical complication of unspecified internal joint prosthesis, sequela
T84.110A Breakdown (mechanical) of internal fixation device of right humerus, initial encounter
T84.110D Breakdown (mechanical) of internal fixation device of right humerus, subsequent encounter
T84.110S Breakdown (mechanical) of internal fixation device of right humerus, sequela
T84.111A Breakdown (mechanical) of internal fixation device of left humerus, initial encounter
T84.111D Breakdown (mechanical) of internal fixation device of left humerus, subsequent encounter
T84.111S Breakdown (mechanical) of internal fixation device of left humerus, sequela
T84.112A Breakdown (mechanical) of internal fixation device of bone of right forearm, initial encounter
T84.112D Breakdown (mechanical) of internal fixation device of bone of right forearm, subsequent encounter
T84.112S Breakdown (mechanical) of internal fixation device of bone of right forearm, sequela
T84.113A Breakdown (mechanical) of internal fixation device of bone of left forearm, initial encounter
T84.113D Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter
T84.113S Breakdown (mechanical) of internal fixation device of bone of left forearm, sequela
T84.114A Breakdown (mechanical) of internal fixation device of right femur, initial encounter
T84.114D Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter
T84.114S Breakdown (mechanical) of internal fixation device of right femur, sequela
394
T84.115A Breakdown (mechanical) of internal fixation device of left femur, initial encounter
T84.115D Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter
T84.115S Breakdown (mechanical) of internal fixation device of left femur, sequela
T84.116A Breakdown (mechanical) of internal fixation device of bone of right lower leg, initial encounter
T84.116D Breakdown (mechanical) of internal fixation device of bone of right lower leg, subsequent encounter
T84.116S Breakdown (mechanical) of internal fixation device of bone of right lower leg, sequela
T84.117A Breakdown (mechanical) of internal fixation device of bone of left lower leg, initial encounter
T84.117D Breakdown (mechanical) of internal fixation device of bone of left lower leg, subsequent encounter
T84.117S Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela
T84.119A Breakdown (mechanical) of internal fixation device of unspecified bone of limb, initial encounter
T84.119D Breakdown (mechanical) of internal fixation device of unspecified bone of limb, subsequent encounter
T84.119S Breakdown (mechanical) of internal fixation device of unspecified bone of limb, sequela
T84.120A Displacement of internal fixation device of right humerus, initial encounter
T84.120D Displacement of internal fixation device of right humerus, subsequent encounter
T84.120S Displacement of internal fixation device of right humerus, sequela
T84.121A Displacement of internal fixation device of left humerus, initial encounter
T84.121D Displacement of internal fixation device of left humerus, subsequent encounter
T84.121S Displacement of internal fixation device of left humerus, sequela
T84.122A Displacement of internal fixation device of bone of right forearm, initial encounter
T84.122D Displacement of internal fixation device of bone of right forearm, subsequent encounter
T84.122S Displacement of internal fixation device of bone of right forearm, sequela
T84.123A Displacement of internal fixation device of bone of left forearm, initial encounter
T84.123D Displacement of internal fixation device of bone of left forearm, subsequent encounter
T84.123S Displacement of internal fixation device of bone of left forearm, sequela
T84.124A Displacement of internal fixation device of right femur, initial encounter
T84.124D Displacement of internal fixation device of right femur, subsequent encounter
T84.124S Displacement of internal fixation device of right femur, sequela
T84.125A Displacement of internal fixation device of left femur, initial encounter
T84.125D Displacement of internal fixation device of left femur, subsequent encounter
T84.125S Displacement of internal fixation device of left femur, sequela
T84.126A Displacement of internal fixation device of bone of right lower leg, initial encounter
T84.126D Displacement of internal fixation device of bone of right lower leg, subsequent encounter
T84.126S Displacement of internal fixation device of bone of right lower leg, sequela
T84.127A Displacement of internal fixation device of bone of left lower leg, initial encounter
T84.127D Displacement of internal fixation device of bone of left lower leg, subsequent encounter
T84.127S Displacement of internal fixation device of bone of left lower leg, sequela
T84.129A Displacement of internal fixation device of unspecified bone of limb, initial encounter
T84.129D Displacement of internal fixation device of unspecified bone of limb, subsequent encounter
395
T84.129S Displacement of internal fixation device of unspecified bone of limb, sequela
T84.190A Other mechanical complication of internal fixation device of right humerus, initial encounter
T84.190D Other mechanical complication of internal fixation device of right humerus, subsequent encounter
T84.190S Other mechanical complication of internal fixation device of right humerus, sequela
T84.191A Other mechanical complication of internal fixation device of left humerus, initial encounter
T84.191D Other mechanical complication of internal fixation device of left humerus, subsequent encounter
T84.191S Other mechanical complication of internal fixation device of left humerus, sequela
T84.192A Other mechanical complication of internal fixation device of bone of right forearm, initial encounter
T84.192D Other mechanical complication of internal fixation device of bone of right forearm, subsequent encounter
T84.192S Other mechanical complication of internal fixation device of bone of right forearm, sequela
T84.193A Other mechanical complication of internal fixation device of bone of left forearm, initial encounter
T84.193D Other mechanical complication of internal fixation device of bone of left forearm, subsequent encounter
T84.193S Other mechanical complication of internal fixation device of bone of left forearm, sequela
T84.194A Other mechanical complication of internal fixation device of right femur, initial encounter
T84.194D Other mechanical complication of internal fixation device of right femur, subsequent encounter
T84.194S Other mechanical complication of internal fixation device of right femur, sequela
T84.195A Other mechanical complication of internal fixation device of left femur, initial encounter
T84.195D Other mechanical complication of internal fixation device of left femur, subsequent encounter
T84.195S Other mechanical complication of internal fixation device of left femur, sequela
T84.196A Other mechanical complication of internal fixation device of bone of right lower leg, initial encounter
T84.196D Other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter
T84.196S Other mechanical complication of internal fixation device of bone of right lower leg, sequela
T84.197A Other mechanical complication of internal fixation device of bone of left lower leg, initial encounter
T84.197D Other mechanical complication of internal fixation device of bone of left lower leg, subsequent encounter
T84.197S Other mechanical complication of internal fixation device of bone of left lower leg, sequela
T84.199A Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter
T84.199D Other mechanical complication of internal fixation device of unspecified bone of limb, subsequent encounter
T84.199S Other mechanical complication of internal fixation device of unspecified bone of limb, sequela
T84.210A Breakdown (mechanical) of internal fixation device of bones of hand and fingers, initial encounter
396
T84.210D Breakdown (mechanical) of internal fixation device of bones of hand and fingers, subsequent encounter
T84.210S Breakdown (mechanical) of internal fixation device of bones of hand and fingers, sequela
T84.213A Breakdown (mechanical) of internal fixation device of bones of foot and toes, initial encounter
T84.213D Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter
T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes, sequela
T84.216A Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
T84.216D Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter
T84.216S Breakdown (mechanical) of internal fixation device of vertebrae, sequela
T84.218A Breakdown (mechanical) of internal fixation device of other bones, initial encounter
T84.218D Breakdown (mechanical) of internal fixation device of other bones, subsequent encounter
T84.218S Breakdown (mechanical) of internal fixation device of other bones, sequela
T84.220A Displacement of internal fixation device of bones of hand and fingers, initial encounter
T84.220D Displacement of internal fixation device of bones of hand and fingers, subsequent encounter
T84.220S Displacement of internal fixation device of bones of hand and fingers, sequela
T84.223A Displacement of internal fixation device of bones of foot and toes, initial encounter
T84.223D Displacement of internal fixation device of bones of foot and toes, subsequent encounter
T84.223S Displacement of internal fixation device of bones of foot and toes, sequela
T84.226A Displacement of internal fixation device of vertebrae, initial encounter
T84.226D Displacement of internal fixation device of vertebrae, subsequent encounter
T84.226S Displacement of internal fixation device of vertebrae, sequela
T84.228A Displacement of internal fixation device of other bones, initial encounter
T84.228D Displacement of internal fixation device of other bones, subsequent encounter
T84.228S Displacement of internal fixation device of other bones, sequela
T84.290A Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter
T84.290D Other mechanical complication of internal fixation device of bones of hand and fingers, subsequent encounter
T84.290S Other mechanical complication of internal fixation device of bones of hand and fingers, sequela
T84.293A Other mechanical complication of internal fixation device of bones of foot and toes, initial encounter
T84.293D Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter
T84.293S Other mechanical complication of internal fixation device of bones of foot and toes, sequela
T84.296A Other mechanical complication of internal fixation device of vertebrae, initial encounter
T84.296D Other mechanical complication of internal fixation device of vertebrae, subsequent encounter
T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela
T84.298A Other mechanical complication of internal fixation device of other bones, initial encounter
T84.298D Other mechanical complication of internal fixation device of other bones, subsequent encounter
397
T84.298S Other mechanical complication of internal fixation device of other bones, sequela
T84.310A Breakdown (mechanical) of electronic bone stimulator, initial encounter
T84.310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter
T84.310S Breakdown (mechanical) of electronic bone stimulator, sequela
T84.318A Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter
T84.318D Breakdown (mechanical) of other bone devices, implants and grafts, subsequent encounter
T84.318S Breakdown (mechanical) of other bone devices, implants and grafts, sequela
T84.320A Displacement of electronic bone stimulator, initial encounter
T84.320D Displacement of electronic bone stimulator, subsequent encounter
T84.320S Displacement of electronic bone stimulator, sequela
T84.328A Displacement of other bone devices, implants and grafts, initial encounter
T84.328D Displacement of other bone devices, implants and grafts, subsequent encounter
T84.328S Displacement of other bone devices, implants and grafts, sequela
T84.390A Other mechanical complication of electronic bone stimulator, initial encounter
T84.390D Other mechanical complication of electronic bone stimulator, subsequent encounter
T84.390S Other mechanical complication of electronic bone stimulator, sequela
T84.398A Other mechanical complication of other bone devices, implants and grafts, initial encounter
T84.398D Other mechanical complication of other bone devices, implants and grafts, subsequent encounter
T84.398S Other mechanical complication of other bone devices, implants and grafts, sequela
T84.410A Breakdown (mechanical) of muscle and tendon graft, initial encounter
T84.410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter
T84.410S Breakdown (mechanical) of muscle and tendon graft, sequela
T84.418A Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, initial encounter
T84.418D Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.418S Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, sequela
T84.420A Displacement of muscle and tendon graft, initial encounter
T84.420D Displacement of muscle and tendon graft, subsequent encounter
T84.420S Displacement of muscle and tendon graft, sequela
T84.428A Displacement of other internal orthopedic devices, implants and grafts, initial encounter
T84.428D Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.428S Displacement of other internal orthopedic devices, implants and grafts, sequela
T84.490A Other mechanical complication of muscle and tendon graft, initial encounter
T84.490D Other mechanical complication of muscle and tendon graft, subsequent encounter
T84.490S Other mechanical complication of muscle and tendon graft, sequela
T84.498A Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter
T84.498D Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.498S Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela
398
T85.01xA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01xD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01xS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02xA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02xD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02xS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03xA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03xD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03xS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09xA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09xD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09xS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode
(lead), subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode
(lead), sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), subsequent encounter
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve,
electrode (lead), sequela
T85.112A Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), initial encounter
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), subsequent encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord,
electrode (lead), sequela
T85.118A Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118D Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
T85.118S Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.120A Displacement of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.120D Displacement of implanted electronic neurostimulator of brain, electrode (lead),
subsequent encounter
T85.120S Displacement of implanted electronic neurostimulator of brain, electrode (lead),
sequela
T85.121A Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), initial encounter
399
T85.121D Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), subsequent encounter
T85.121S Displacement of implanted electronic neurostimulator of peripheral nerve, electrode
(lead), sequela
T85.122A Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
initial encounter
T85.122D Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
subsequent encounter
T85.122S Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead),
sequela
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator of brain,
electrode (lead), subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator of brain,
electrode (lead), sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator of peripheral
nerve, electrode (lead), sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), subsequent encounter
T85.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord,
electrode (lead), sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
400
T86.899 Unspecified complication of other transplanted tissue
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z01.818 Encounter for other preprocedural examination
Z48.23 Encounter for aftercare following liver transplant
Z52.4 Kidney donor
Z52.6 Liver donor
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.01 Personal history of malignant neoplasm of esophagus
Z85.020 Personal history of malignant carcinoid tumor of stomach
Z85.028 Personal history of other malignant neoplasm of stomach
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Z85.038 Personal history of other malignant neoplasm of large intestine
Z85.040 Personal history of malignant carcinoid tumor of rectum
Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
Z85.05 Personal history of malignant neoplasm of liver
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Z85.068 Personal history of other malignant neoplasm of small intestine
Z85.07 Personal history of malignant neoplasm of pancreas
Z85.09 Personal history of malignant neoplasm of other digestive organs
Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Z85.12 Personal history of malignant neoplasm of trachea
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
Z85.21 Personal history of malignant neoplasm of larynx
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Z85.230 Personal history of malignant carcinoid tumor of thymus
Z85.238 Personal history of other malignant neoplasm of thymus
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis
401
Z85.49 Personal history of malignant neoplasm of other male genital organs
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.520 Personal history of malignant carcinoid tumor of kidney
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.54 Personal history of malignant neoplasm of ureter
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
Z85.6 Personal history of leukemia
Z85.71 Personal history of Hodgkin lymphoma
Z85.72 Personal history of non-Hodgkin lymphomas
Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z85.810 Personal history of malignant neoplasm of tongue
Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Z85.820 Personal history of malignant melanoma of skin
Z85.821 Personal history of Merkel cell carcinoma
Z85.828 Personal history of other malignant neoplasm of skin
Z85.830 Personal history of malignant neoplasm of bone
Z85.831 Personal history of malignant neoplasm of soft tissue
Z85.840 Personal history of malignant neoplasm of eye
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
Z85.9 Personal history of malignant neoplasm, unspecified
Z94.4 Liver transplant status
Z98.890 Other specified postprocedural states
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT codes: Code Description
72192 CT pelvis without contrast
72193 CT pelvis with contrast
72194 CT pelvis without contrast, followed by re-imaging with contrast
The following ICD Diagnosis Codes are considered medically necessary when submitted with the CPT codes above if medical necessity criteria are met:
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0 Renovascular hypertension
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified
I70.0 Atherosclerosis of aorta
I71.00 Dissection of unspecified site of aorta
I71.01 Dissection of thoracic aorta
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
I71.9 Aortic aneurysm of unspecified site, without rupture
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.8 Aneurysm of other specified arteries
408
I74.01 Saddle Embolus Of Abdominal Aorta
I74.09 Other Arterial Embolism And Thrombosis Of Abdominal Aorta
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.4 Celiac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.819 Aortic ectasia, unspecified site
I77.89 Other specified disorders of arteries and arterioles
I77.9 Disorder of arteries and arterioles, unspecified
I79.0 Aneurysm of aorta in diseases classified elsewhere
I81 Portal vein thrombosis
I82.0 Budd-Chiari syndrome
I82.3 Embolism and thrombosis of renal vein
I85.00 Esophageal varices without bleeding
I85.01 Esophageal varices with bleeding
I86.2 Pelvic varices
I88.0 Nonspecific mesenteric lymphadenitis
I89.0 Lymphedema, not elsewhere classified
J86.0 Pyothorax with fistula
K21.9 Gastro-esophageal reflux disease without esophagitis
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
T81.49XS Infection following a procedure, other surgical site, sequela
T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter
T81.500D Unspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.500S Unspecified complication of foreign body accidentally left in body following surgical operation, sequela
T81.501A Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.501D Unspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.501S Unspecified complication of foreign body accidentally left in body following infusion or transfusion, sequela
T81.502A Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502D Unspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.502S Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela
T81.503A Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter
T81.503D Unspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.503S Unspecified complication of foreign body accidentally left in body following injection or immunization, sequela
T81.504A Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.504D Unspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.504S Unspecified complication of foreign body accidentally left in body following endoscopic examination, sequela
487
T81.505A Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter
T81.505D Unspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.505S Unspecified complication of foreign body accidentally left in body following heart catheterization, sequela
T81.506A Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.506D Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.506S Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.507A Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.507D Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.507S Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.508A Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter
T81.508D Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter
T81.508S Unspecified complication of foreign body accidentally left in body following other procedure, sequela
T81.509A Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.509D Unspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.509S Unspecified complication of foreign body accidentally left in body following unspecified procedure, sequela
T81.510A Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter
T81.510D Adhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.510S Adhesions due to foreign body accidentally left in body following surgical operation, sequela
T81.511A Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.511D Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.511S Adhesions due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.512A Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.512D Adhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.512S Adhesions due to foreign body accidentally left in body following kidney dialysis, sequela
T81.513A Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.513D Adhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.513S Adhesions due to foreign body accidentally left in body following injection or immunization, sequela
488
T81.514A Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.514D Adhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.514S Adhesions due to foreign body accidentally left in body following endoscopic examination, sequela
T81.515A Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.515D Adhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.515S Adhesions due to foreign body accidentally left in body following heart catheterization, sequela
T81.516A Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.516D Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.516S Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.517A Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.517D Adhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.517S Adhesions due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.518A Adhesions due to foreign body accidentally left in body following other procedure, initial encounter
T81.518D Adhesions due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.518S Adhesions due to foreign body accidentally left in body following other procedure, sequela
T81.519A Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.519D Adhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.519S Adhesions due to foreign body accidentally left in body following unspecified procedure, sequela
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter
T81.520D Obstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.520S Obstruction due to foreign body accidentally left in body following surgical operation, sequela
T81.521A Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.521D Obstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.521S Obstruction due to foreign body accidentally left in body following infusion or transfusion, sequela
T81.522A Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.522D Obstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.522S Obstruction due to foreign body accidentally left in body following kidney dialysis, sequela
489
T81.523A Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.523D Obstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.523S Obstruction due to foreign body accidentally left in body following injection or immunization, sequela
T81.524A Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.524D Obstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.524S Obstruction due to foreign body accidentally left in body following endoscopic examination, sequela
T81.525A Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.525D Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.525S Obstruction due to foreign body accidentally left in body following heart catheterization, sequela
T81.526A Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.526D Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.526S Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.527A Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.527D Obstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.527S Obstruction due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.528A Obstruction due to foreign body accidentally left in body following other procedure, initial encounter
T81.528D Obstruction due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.528S Obstruction due to foreign body accidentally left in body following other procedure, sequela
T81.529A Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.529D Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.529S Obstruction due to foreign body accidentally left in body following unspecified procedure, sequela
T81.530A Perforation due to foreign body accidentally left in body following surgical operation, initial encounter
T81.530D Perforation due to foreign body accidentally left in body following surgical operation, subsequent encounter
T81.530S Perforation due to foreign body accidentally left in body following surgical operation, sequela
T81.531A Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.531D Perforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.531S Perforation due to foreign body accidentally left in body following infusion or transfusion, sequela
490
T81.532A Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter
T81.532D Perforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.532S Perforation due to foreign body accidentally left in body following kidney dialysis, sequela
T81.533A Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter
T81.533D Perforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.533S Perforation due to foreign body accidentally left in body following injection or immunization, sequela
T81.534A Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534D Perforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.534S Perforation due to foreign body accidentally left in body following endoscopic examination, sequela
T81.535A Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter
T81.535D Perforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.535S Perforation due to foreign body accidentally left in body following heart catheterization, sequela
T81.536A Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.536D Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.536S Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.537A Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.537D Perforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.537S Perforation due to foreign body accidentally left in body following removal of catheter or packing, sequela
T81.538A Perforation due to foreign body accidentally left in body following other procedure, initial encounter
T81.538D Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter
T81.538S Perforation due to foreign body accidentally left in body following other procedure, sequela
T81.539A Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
T81.539D Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.539S Perforation due to foreign body accidentally left in body following unspecified procedure, sequela
T81.590A Other complications of foreign body accidentally left in body following surgical operation, initial encounter
T81.590D Other complications of foreign body accidentally left in body following surgical operation, subsequent encounter
T81.590S Other complications of foreign body accidentally left in body following surgical operation, sequela
491
T81.591A Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter
T81.591D Other complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter
T81.591S Other complications of foreign body accidentally left in body following infusion or transfusion, sequela
T81.592A Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.592D Other complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter
T81.592S Other complications of foreign body accidentally left in body following kidney dialysis, sequela
T81.593A Other complications of foreign body accidentally left in body following injection or immunization, initial encounter
T81.593D Other complications of foreign body accidentally left in body following injection or immunization, subsequent encounter
T81.593S Other complications of foreign body accidentally left in body following injection or immunization, sequela
T81.594A Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter
T81.594D Other complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter
T81.594S Other complications of foreign body accidentally left in body following endoscopic examination, sequela
T81.595A Other complications of foreign body accidentally left in body following heart catheterization, initial encounter
T81.595D Other complications of foreign body accidentally left in body following heart catheterization, subsequent encounter
T81.595S Other complications of foreign body accidentally left in body following heart catheterization, sequela
T81.596A Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter
T81.596D Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter
T81.596S Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela
T81.597A Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter
T81.597D Other complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter
T81.597S Other complications of foreign body accidentally left in body following removal of catheter or packing, sequela
T81.598A Other complications of foreign body accidentally left in body following other procedure, initial encounter
T81.598D Other complications of foreign body accidentally left in body following other procedure, subsequent encounter
T81.598S Other complications of foreign body accidentally left in body following other procedure, sequela
T81.599A Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter
T81.599D Other complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter
T81.599S Other complications of foreign body accidentally left in body following unspecified procedure, sequela
492
T81.9xxA Unspecified complication of procedure, initial encounter
T81.9xxD Unspecified complication of procedure, subsequent encounter
T81.9xxS Unspecified complication of procedure, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
493
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41xA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41xD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41xS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42xA Displacement of vascular dialysis catheter, initial encounter
T82.42xD Displacement of vascular dialysis catheter, subsequent encounter
T82.42xS Displacement of vascular dialysis catheter, sequela
T82.43xA Leakage of vascular dialysis catheter, initial encounter
T82.43xD Leakage of vascular dialysis catheter, subsequent encounter
T82.43xS Leakage of vascular dialysis catheter, sequela
T82.49xA Other complication of vascular dialysis catheter, initial encounter
T82.49xD Other complication of vascular dialysis catheter, subsequent encounter
T82.49xS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
494
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
495
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T83.010A Breakdown (mechanical) of cystostomy catheter, initial encounter
T83.010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter
T83.010S Breakdown (mechanical) of cystostomy catheter, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter
T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter
496
T83.018S Breakdown (mechanical) of other urinary catheter, sequela
T83.020A Displacement of cystostomy catheter, initial encounter
T83.020D Displacement of cystostomy catheter, subsequent encounter
T83.020S Displacement of cystostomy catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
T83.022S Displacement of nephrostomy catheter, sequela
T83.028A Displacement of other urinary catheter, initial encounter
T83.028D Displacement of other urinary catheter, subsequent encounter
T83.028S Displacement of other urinary catheter, sequela
T83.030A Leakage of cystostomy catheter, initial encounter
T83.030D Leakage of cystostomy catheter, subsequent encounter
T83.030S Leakage of cystostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.038A Leakage of other urinary catheter, initial encounter
T83.038D Leakage of other urinary catheter, subsequent encounter
T83.038S Leakage of other urinary catheter, sequela
T83.090A Other mechanical complication of cystostomy catheter, initial encounter
T83.090D Other mechanical complication of cystostomy catheter, subsequent encounter
T83.090S Other mechanical complication of cystostomy catheter, sequela
T83.092A Other mechanical complication of nephrostomy catheter, initial encounter
T83.092D Other mechanical complication of nephrostomy catheter, subsequent encounter
T83.092S Other mechanical complication of nephrostomy catheter, sequela
T83.098A Other mechanical complication of other urinary catheter, initial encounter
T83.098D Other mechanical complication of other urinary catheter, subsequent encounter
T83.098S Other mechanical complication of other urinary catheter, sequela
T83.110A Breakdown (mechanical) of urinary electronic stimulator device, initial encounter
T83.110D Breakdown (mechanical) of urinary electronic stimulator device, subsequent encounter
T83.110S Breakdown (mechanical) of urinary electronic stimulator device, sequela
T83.111A Breakdown (mechanical) of implanted urinary sphincter, initial encounter
T83.111D Breakdown (mechanical) of implanted urinary sphincter, subsequent encounter
T83.111S Breakdown (mechanical) of implanted urinary sphincter, sequela
T83.112A Breakdown (mechanical) of indwelling ureteral stent, initial encounter
T83.112D Breakdown (mechanical) of indwelling ureteral stent, subsequent encounter
T83.112S Breakdown (mechanical) of indwelling ureteral stent, sequela
T83.113A Breakdown (mechanical) of other urinary stents, initial encounter
T83.113D Breakdown (mechanical) of other urinary stents, subsequent encounter
T83.113S Breakdown (mechanical) of other urinary stents, sequela
T83.118A Breakdown (mechanical) of other urinary devices and implants, initial encounter
T83.118D Breakdown (mechanical) of other urinary devices and implants, subsequent encounter
497
T83.118S Breakdown (mechanical) of other urinary devices and implants, sequela
T83.120A Displacement of urinary electronic stimulator device, initial encounter
T83.120D Displacement of urinary electronic stimulator device, subsequent encounter
T83.120S Displacement of urinary electronic stimulator device, sequela
T83.121A Displacement of urinary sphincter implant, initial encounter
T83.121D Displacement of urinary sphincter implant, subsequent encounter
T83.121S Displacement of urinary sphincter implant, sequela
T83.122A Displacement of indwelling ureteral stent, initial encounter
T83.122D Displacement of indwelling ureteral stent, subsequent encounter
T83.122S Displacement of indwelling ureteral stent, sequela
T83.123A Displacement of other urinary stents, initial encounter
T83.123D Displacement of other urinary stents, subsequent encounter
T83.123S Displacement of other urinary stents, sequela
T83.128A Displacement of other urinary devices and implants, initial encounter
T83.128D Displacement of other urinary devices and implants, subsequent encounter
T83.128S Displacement of other urinary devices and implants, sequela
T83.190A Other mechanical complication of urinary electronic stimulator device, initial encounter
T83.190D Other mechanical complication of urinary electronic stimulator device, subsequent encounter
T83.190S Other mechanical complication of urinary electronic stimulator device, sequela
T83.191A Other mechanical complication of implanted urinary sphincter, initial encounter
T83.191D Other mechanical complication of implanted urinary sphincter, subsequent encounter
T83.191S Other mechanical complication of implanted urinary sphincter, sequela
T83.192A Other mechanical complication of indwelling ureteral stent, initial encounter
T83.192D Other mechanical complication of indwelling ureteral stent, subsequent encounter
T83.192S Other mechanical complication of indwelling ureteral stent, sequela
T83.193A Other mechanical complication of other urinary stent, initial encounter
T83.193D Other mechanical complication of other urinary stent, subsequent encounter
T83.193S Other mechanical complication of other urinary stent, sequela
T83.198A Other mechanical complication of other urinary devices and implants, initial encounter
T83.198D Other mechanical complication of other urinary devices and implants, subsequent encounter
T83.198S Other mechanical complication of other urinary devices and implants, sequela
T83.21xA Breakdown (mechanical) of graft of urinary organ, initial encounter
T83.21xD Breakdown (mechanical) of graft of urinary organ, subsequent encounter
T83.21xS Breakdown (mechanical) of graft of urinary organ, sequela
T83.22xA Displacement of graft of urinary organ, initial encounter
T83.22xD Displacement of graft of urinary organ, subsequent encounter
T83.22xS Displacement of graft of urinary organ, sequela
T83.23xA Leakage of graft of urinary organ, initial encounter
T83.23xD Leakage of graft of urinary organ, subsequent encounter
T83.23xS Leakage of graft of urinary organ, sequela
T83.24XA Erosion of graft of urinary organ, initial encounter
498
T83.24XD Erosion of graft of urinary organ, subsequent encounter
T83.24XS Erosion of graft of urinary organ, sequela
T83.25XA Exposure of graft of urinary organ, initial encounter
T83.25XD Exposure of graft of urinary organ, subsequent encounter
T83.25XS Exposure of graft of urinary organ, sequela
T83.29xA Other mechanical complication of graft of urinary organ, initial encounter
T83.29xD Other mechanical complication of graft of urinary organ, subsequent encounter
T83.29xS Other mechanical complication of graft of urinary organ, sequela
T83.31xA Breakdown (mechanical) of intrauterine contraceptive device, initial encounter
T83.31xD Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter
T83.31xS Breakdown (mechanical) of intrauterine contraceptive device, sequela
T83.32xA Displacement of intrauterine contraceptive device, initial encounter
T83.32xD Displacement of intrauterine contraceptive device, subsequent encounter
T83.32xS Displacement of intrauterine contraceptive device, sequela
T83.39xA Other mechanical complication of intrauterine contraceptive device, initial encounter
T83.39xD Other mechanical complication of intrauterine contraceptive device, subsequent encounter
T83.39xS Other mechanical complication of intrauterine contraceptive device, sequela
T83.410A Breakdown (mechanical) of implanted penile prosthesis, initial encounter
T83.410D Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter
T83.410S Breakdown (mechanical) of implanted penile prosthesis, sequela
T83.411A Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
T83.411D Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
T83.411S Breakdown (mechanical) of implanted testicular prosthesis, sequela
T83.418A Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.418D Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.418S Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract, sequela
T83.420A Displacement of implanted penile prosthesis, initial encounter
T83.420D Displacement of implanted penile prosthesis, subsequent encounter
T83.420S Displacement of implanted penile prosthesis, sequela
T83.421A Displacement of implanted testicular prosthesis, initial encounter
T83.421D Displacement of implanted testicular prosthesis, subsequent encounter
T83.421S Displacement of implanted testicular prosthesis, sequela
T83.428A Displacement of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.428D Displacement of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.428S Displacement of other prosthetic devices, implants and grafts of genital tract, sequela
T83.490A Other mechanical complication of implanted penile prosthesis, initial encounter
T83.490D Other mechanical complication of implanted penile prosthesis, subsequent encounter
T83.490S Other mechanical complication of implanted penile prosthesis, sequela
T83.491A Other mechanical complication of implanted testicular prosthesis, initial encounter
499
T83.491D Other mechanical complication of implanted testicular prosthesis, subsequent encounter
T83.491S Other mechanical complication of implanted testicular prosthesis, sequela
T83.498A Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, initial encounter
T83.498D Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter
T83.498S Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, sequela
T83.510A Infection and inflammatory reaction due to cystostomy catheter, initial encounter
T83.510D Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter
T83.510S Infection and inflammatory reaction due to cystostomy catheter, sequela
T83.511A Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
T83.511D Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter
T83.511S Infection and inflammatory reaction due to indwelling urethral catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.518A Infection and inflammatory reaction due to other urinary catheter, initial encounter
T83.518D Infection and inflammatory reaction due to other urinary catheter, subsequent encounter
T83.518S Infection and inflammatory reaction due to other urinary catheter, sequela
T83.590A Infection and inflammatory reaction due to implanted urinary neurostimulation device, initial encounter
T83.590D Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter
T83.590S Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela
T83.591A Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter
T83.591D Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter
T83.591S Infection and inflammatory reaction due to implanted urinary sphincter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.593A Infection and inflammatory reaction due to other urinary stents, initial encounter
T83.593D Infection and inflammatory reaction due to other urinary stents, subsequent encounter
T83.593S Infection and inflammatory reaction due to other urinary stents, sequela
T83.598A Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter
T83.598D Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
T83.598S Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
500
T83.61XA Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
T83.61XD Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
T83.61XS Infection and inflammatory reaction due to implanted penile prosthesis, sequela
T83.62XA Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
T83.62XD Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
T83.62XS Infection and inflammatory reaction due to implanted testicular prosthesis, sequela
T83.69XA Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, initial encounter
T83.69XD Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter
T83.69XS Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela
T83.712A Erosion of implanted urethral mesh to surrounding organ or tissue, initial encounter
T83.712D Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter
T83.712S Erosion of implanted urethral mesh to surrounding organ or tissue, sequela
T83.713A Erosion of implanted urethral bulking agent to surrounding organ or tissue, initial encounter
T83.713D Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter
T83.713S Erosion of implanted urethral bulking agent to surrounding organ or tissue, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.718A Erosion of other implanted mesh to organ or tissue, initial encounter
T83.718D Erosion of other implanted mesh to organ or tissue, subsequent encounter
T83.718S Erosion of other implanted mesh to organ or tissue, sequela
T83.719A Erosion of other prosthetic materials to surrounding organ or tissue, initial encounter
T83.719D Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter
T83.719S Erosion of other prosthetic materials to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T83.728A Exposure of other implanted mesh into organ or tissue, initial encounter
T83.728D Exposure of other implanted mesh into organ or tissue, subsequent encounter
501
T83.728S Exposure of other implanted mesh into organ or tissue, sequela
T83.729A Exposure of other prosthetic materials into organ or tissue, initial encounter
T83.729D Exposure of other prosthetic materials into organ or tissue, subsequent encounter
T83.729S Exposure of other prosthetic materials into organ or tissue, sequela
T83.79XA Other specified complications due to other prosthetic materials, initial encounter
T83.79XD Other specified complications due to other prosthetic materials, subsequent encounter
T83.79XS Other specified complications due to other prosthetic materials, sequela
T84.010A Broken internal right hip prosthesis, initial encounter
T84.010D Broken internal right hip prosthesis, subsequent encounter
T84.010S Broken internal right hip prosthesis, sequela
T84.011A Broken internal left hip prosthesis, initial encounter
T84.011D Broken internal left hip prosthesis, subsequent encounter
T84.011S Broken internal left hip prosthesis, sequela
T84.012A Broken internal right knee prosthesis, initial encounter
T84.012D Broken internal right knee prosthesis, subsequent encounter
T84.012S Broken internal right knee prosthesis, sequela
T84.013A Broken internal left knee prosthesis, initial encounter
T84.013D Broken internal left knee prosthesis, subsequent encounter
T84.013S Broken internal left knee prosthesis, sequela
T84.018A Broken internal joint prosthesis, other site, initial encounter
T84.018D Broken internal joint prosthesis, other site, subsequent encounter
T84.018S Broken internal joint prosthesis, other site, sequela
T84.020A Dislocation of internal right hip prosthesis, initial encounter
T84.020D Dislocation of internal right hip prosthesis, subsequent encounter
T84.020S Dislocation of internal right hip prosthesis, sequela
T84.021A Dislocation of internal left hip prosthesis, initial encounter
T84.021D Dislocation of internal left hip prosthesis, subsequent encounter
T84.021S Dislocation of internal left hip prosthesis, sequela
T84.022A Instability of internal right knee prosthesis, initial encounter
T84.022D Instability of internal right knee prosthesis, subsequent encounter
T84.022S Instability of internal right knee prosthesis, sequela
T84.023A Instability of internal left knee prosthesis, initial encounter
T84.023D Instability of internal left knee prosthesis, subsequent encounter
T84.023S Instability of internal left knee prosthesis, sequela
T84.028A Dislocation of other internal joint prosthesis, initial encounter
T84.028D Dislocation of other internal joint prosthesis, subsequent encounter
T84.028S Dislocation of other internal joint prosthesis, sequela
T84.029A Dislocation of unspecified internal joint prosthesis, initial encounter
T84.029D Dislocation of unspecified internal joint prosthesis, subsequent encounter
502
T84.029S Dislocation of unspecified internal joint prosthesis, sequela
T84.030A Mechanical loosening of internal right hip prosthetic joint, initial encounter
T84.030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter
T84.030S Mechanical loosening of internal right hip prosthetic joint, sequela
T84.031A Mechanical loosening of internal left hip prosthetic joint, initial encounter
T84.031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter
T84.031S Mechanical loosening of internal left hip prosthetic joint, sequela
T84.032A Mechanical loosening of internal right knee prosthetic joint, initial encounter
T84.032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter
T84.032S Mechanical loosening of internal right knee prosthetic joint, sequela
T84.033A Mechanical loosening of internal left knee prosthetic joint, initial encounter
T84.033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter
T84.033S Mechanical loosening of internal left knee prosthetic joint, sequela
T84.038A Mechanical loosening of other internal prosthetic joint, initial encounter
T84.038D Mechanical loosening of other internal prosthetic joint, subsequent encounter
T84.038S Mechanical loosening of other internal prosthetic joint, sequela
T84.039A Mechanical loosening of unspecified internal prosthetic joint, initial encounter
T84.039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter
T84.039S Mechanical loosening of unspecified internal prosthetic joint, sequela
T84.049S Periprosthetic fracture around unspecified internal prosthetic joint, sequela
T84.050A Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
T84.050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter
T84.050S Periprosthetic osteolysis of internal prosthetic right hip joint, sequela
T84.051A Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
T84.051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter
T84.051S Periprosthetic osteolysis of internal prosthetic left hip joint, sequela
T84.052A Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter
T84.052D Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.052S Periprosthetic osteolysis of internal prosthetic right knee joint, sequela
T84.053A Periprosthetic osteolysis of internal prosthetic left knee joint, initial encounter
T84.053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
T84.053S Periprosthetic osteolysis of internal prosthetic left knee joint, sequela
T84.058A Periprosthetic osteolysis of other internal prosthetic joint, initial encounter
T84.058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter
T84.058S Periprosthetic osteolysis of other internal prosthetic joint, sequela
T84.059A Periprosthetic osteolysis of unspecified internal prosthetic joint, initial encounter
T84.059D Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent encounter
T84.059S Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela
T84.060A Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84.060D Wear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
T84.060S Wear of articular bearing surface of internal prosthetic right hip joint, sequela
T84.061A Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
503
T84.061D Wear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
T84.061S Wear of articular bearing surface of internal prosthetic left hip joint, sequela
T84.062A Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter
T84.062D Wear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
T84.062S Wear of articular bearing surface of internal prosthetic right knee joint, sequela
T84.063A Wear of articular bearing surface of internal prosthetic left knee joint, initial encounter
T84.063D Wear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
T84.063S Wear of articular bearing surface of internal prosthetic left knee joint, sequela
T84.068A Wear of articular bearing surface of other internal prosthetic joint, initial encounter
T84.068D Wear of articular bearing surface of other internal prosthetic joint, subsequent encounter
T84.068S Wear of articular bearing surface of other internal prosthetic joint, sequela
T84.069A Wear of articular bearing surface of unspecified internal prosthetic joint, initial encounter
T84.069D Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
T84.069S Wear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.090A Other mechanical complication of internal right hip prosthesis, initial encounter
T84.090D Other mechanical complication of internal right hip prosthesis, subsequent encounter
T84.090S Other mechanical complication of internal right hip prosthesis, sequela
T84.091A Other mechanical complication of internal left hip prosthesis, initial encounter
T84.091D Other mechanical complication of internal left hip prosthesis, subsequent encounter
T84.091S Other mechanical complication of internal left hip prosthesis, sequela
T84.092A Other mechanical complication of internal right knee prosthesis, initial encounter
T84.092D Other mechanical complication of internal right knee prosthesis, subsequent encounter
T84.092S Other mechanical complication of internal right knee prosthesis, sequela
T84.093A Other mechanical complication of internal left knee prosthesis, initial encounter
T84.093D Other mechanical complication of internal left knee prosthesis, subsequent encounter
T84.093S Other mechanical complication of internal left knee prosthesis, sequela
T84.098A Other mechanical complication of other internal joint prosthesis, initial encounter
T84.098D Other mechanical complication of other internal joint prosthesis, subsequent encounter
T84.098S Other mechanical complication of other internal joint prosthesis, sequela
T84.099A Other mechanical complication of unspecified internal joint prosthesis, initial encounter
T84.099D Other mechanical complication of unspecified internal joint prosthesis, subsequent encounter
T84.099S Other mechanical complication of unspecified internal joint prosthesis, sequela
T84.110A Breakdown (mechanical) of internal fixation device of right humerus, initial encounter
T84.110D Breakdown (mechanical) of internal fixation device of right humerus, subsequent encounter
T84.110S Breakdown (mechanical) of internal fixation device of right humerus, sequela
T84.111A Breakdown (mechanical) of internal fixation device of left humerus, initial encounter
504
T84.111D Breakdown (mechanical) of internal fixation device of left humerus, subsequent encounter
T84.111S Breakdown (mechanical) of internal fixation device of left humerus, sequela
T84.112A Breakdown (mechanical) of internal fixation device of bone of right forearm, initial encounter
T84.112D Breakdown (mechanical) of internal fixation device of bone of right forearm, subsequent encounter
T84.112S Breakdown (mechanical) of internal fixation device of bone of right forearm, sequela
T84.113A Breakdown (mechanical) of internal fixation device of bone of left forearm, initial encounter
T84.113D Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter
T84.113S Breakdown (mechanical) of internal fixation device of bone of left forearm, sequela
T84.114A Breakdown (mechanical) of internal fixation device of right femur, initial encounter
T84.114D Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter
T84.114S Breakdown (mechanical) of internal fixation device of right femur, sequela
T84.115A Breakdown (mechanical) of internal fixation device of left femur, initial encounter
T84.115D Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter
T84.115S Breakdown (mechanical) of internal fixation device of left femur, sequela
T84.116A Breakdown (mechanical) of internal fixation device of bone of right lower leg, initial encounter
T84.116D Breakdown (mechanical) of internal fixation device of bone of right lower leg, subsequent encounter
T84.116S Breakdown (mechanical) of internal fixation device of bone of right lower leg, sequela
T84.117A Breakdown (mechanical) of internal fixation device of bone of left lower leg, initial encounter
T84.117D Breakdown (mechanical) of internal fixation device of bone of left lower leg, subsequent encounter
T84.117S Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela
T84.119A Breakdown (mechanical) of internal fixation device of unspecified bone of limb, initial encounter
T84.119D Breakdown (mechanical) of internal fixation device of unspecified bone of limb, subsequent encounter
T84.119S Breakdown (mechanical) of internal fixation device of unspecified bone of limb, sequela
T84.120A Displacement of internal fixation device of right humerus, initial encounter
T84.120D Displacement of internal fixation device of right humerus, subsequent encounter
T84.120S Displacement of internal fixation device of right humerus, sequela
T84.121A Displacement of internal fixation device of left humerus, initial encounter
T84.121D Displacement of internal fixation device of left humerus, subsequent encounter
T84.121S Displacement of internal fixation device of left humerus, sequela
T84.122A Displacement of internal fixation device of bone of right forearm, initial encounter
T84.122D Displacement of internal fixation device of bone of right forearm, subsequent encounter
T84.122S Displacement of internal fixation device of bone of right forearm, sequela
T84.123A Displacement of internal fixation device of bone of left forearm, initial encounter
T84.123D Displacement of internal fixation device of bone of left forearm, subsequent encounter
505
T84.123S Displacement of internal fixation device of bone of left forearm, sequela
T84.124A Displacement of internal fixation device of right femur, initial encounter
T84.124D Displacement of internal fixation device of right femur, subsequent encounter
T84.124S Displacement of internal fixation device of right femur, sequela
T84.125A Displacement of internal fixation device of left femur, initial encounter
T84.125D Displacement of internal fixation device of left femur, subsequent encounter
T84.125S Displacement of internal fixation device of left femur, sequela
T84.126A Displacement of internal fixation device of bone of right lower leg, initial encounter
T84.126D Displacement of internal fixation device of bone of right lower leg, subsequent encounter
T84.126S Displacement of internal fixation device of bone of right lower leg, sequela
T84.127A Displacement of internal fixation device of bone of left lower leg, initial encounter
T84.127D Displacement of internal fixation device of bone of left lower leg, subsequent encounter
T84.127S Displacement of internal fixation device of bone of left lower leg, sequela
T84.129A Displacement of internal fixation device of unspecified bone of limb, initial encounter
T84.129D Displacement of internal fixation device of unspecified bone of limb, subsequent encounter
T84.129S Displacement of internal fixation device of unspecified bone of limb, sequela
T84.190A Other mechanical complication of internal fixation device of right humerus, initial encounter
T84.190D Other mechanical complication of internal fixation device of right humerus, subsequent encounter
T84.190S Other mechanical complication of internal fixation device of right humerus, sequela
T84.191A Other mechanical complication of internal fixation device of left humerus, initial encounter
T84.191D Other mechanical complication of internal fixation device of left humerus, subsequent encounter
T84.191S Other mechanical complication of internal fixation device of left humerus, sequela
T84.192A Other mechanical complication of internal fixation device of bone of right forearm, initial encounter
T84.192D Other mechanical complication of internal fixation device of bone of right forearm, subsequent encounter
T84.192S Other mechanical complication of internal fixation device of bone of right forearm, sequela
T84.193A Other mechanical complication of internal fixation device of bone of left forearm, initial encounter
T84.193D Other mechanical complication of internal fixation device of bone of left forearm, subsequent encounter
T84.193S Other mechanical complication of internal fixation device of bone of left forearm, sequela
T84.194A Other mechanical complication of internal fixation device of right femur, initial encounter
T84.194D Other mechanical complication of internal fixation device of right femur, subsequent encounter
T84.194S Other mechanical complication of internal fixation device of right femur, sequela
T84.195A Other mechanical complication of internal fixation device of left femur, initial encounter
T84.195D Other mechanical complication of internal fixation device of left femur, subsequent encounter
506
T84.195S Other mechanical complication of internal fixation device of left femur, sequela
T84.196A Other mechanical complication of internal fixation device of bone of right lower leg, initial encounter
T84.196D Other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter
T84.196S Other mechanical complication of internal fixation device of bone of right lower leg, sequela
T84.197A Other mechanical complication of internal fixation device of bone of left lower leg, initial encounter
T84.197D Other mechanical complication of internal fixation device of bone of left lower leg, subsequent encounter
T84.197S Other mechanical complication of internal fixation device of bone of left lower leg, sequela
T84.199A Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter
T84.199D Other mechanical complication of internal fixation device of unspecified bone of limb, subsequent encounter
T84.199S Other mechanical complication of internal fixation device of unspecified bone of limb, sequela
T84.210A Breakdown (mechanical) of internal fixation device of bones of hand and fingers, initial encounter
T84.210D Breakdown (mechanical) of internal fixation device of bones of hand and fingers, subsequent encounter
T84.210S Breakdown (mechanical) of internal fixation device of bones of hand and fingers, sequela
T84.213A Breakdown (mechanical) of internal fixation device of bones of foot and toes, initial encounter
T84.213D Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter
T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes, sequela
T84.216A Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
T84.216D Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter
T84.216S Breakdown (mechanical) of internal fixation device of vertebrae, sequela
T84.218A Breakdown (mechanical) of internal fixation device of other bones, initial encounter
T84.218D Breakdown (mechanical) of internal fixation device of other bones, subsequent encounter
T84.218S Breakdown (mechanical) of internal fixation device of other bones, sequela
T84.220A Displacement of internal fixation device of bones of hand and fingers, initial encounter
T84.220D Displacement of internal fixation device of bones of hand and fingers, subsequent encounter
T84.220S Displacement of internal fixation device of bones of hand and fingers, sequela
T84.223A Displacement of internal fixation device of bones of foot and toes, initial encounter
T84.223D Displacement of internal fixation device of bones of foot and toes, subsequent encounter
T84.223S Displacement of internal fixation device of bones of foot and toes, sequela
T84.226A Displacement of internal fixation device of vertebrae, initial encounter
T84.226D Displacement of internal fixation device of vertebrae, subsequent encounter
T84.226S Displacement of internal fixation device of vertebrae, sequela
T84.228A Displacement of internal fixation device of other bones, initial encounter
507
T84.228D Displacement of internal fixation device of other bones, subsequent encounter
T84.228S Displacement of internal fixation device of other bones, sequela
T84.290A Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter
T84.290D Other mechanical complication of internal fixation device of bones of hand and fingers, subsequent encounter
T84.290S Other mechanical complication of internal fixation device of bones of hand and fingers, sequela
T84.293A Other mechanical complication of internal fixation device of bones of foot and toes, initial encounter
T84.293D Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter
T84.293S Other mechanical complication of internal fixation device of bones of foot and toes, sequela
T84.296A Other mechanical complication of internal fixation device of vertebrae, initial encounter
T84.296D Other mechanical complication of internal fixation device of vertebrae, subsequent encounter
T84.296S Other mechanical complication of internal fixation device of vertebrae, sequela
T84.298A Other mechanical complication of internal fixation device of other bones, initial encounter
T84.298D Other mechanical complication of internal fixation device of other bones, subsequent encounter
T84.298S Other mechanical complication of internal fixation device of other bones, sequela
T84.310A Breakdown (mechanical) of electronic bone stimulator, initial encounter
T84.310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter
T84.310S Breakdown (mechanical) of electronic bone stimulator, sequela
T84.318A Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter
T84.318D Breakdown (mechanical) of other bone devices, implants and grafts, subsequent encounter
T84.318S Breakdown (mechanical) of other bone devices, implants and grafts, sequela
T84.320A Displacement of electronic bone stimulator, initial encounter
T84.320D Displacement of electronic bone stimulator, subsequent encounter
T84.320S Displacement of electronic bone stimulator, sequela
T84.328A Displacement of other bone devices, implants and grafts, initial encounter
T84.328D Displacement of other bone devices, implants and grafts, subsequent encounter
T84.328S Displacement of other bone devices, implants and grafts, sequela
T84.390A Other mechanical complication of electronic bone stimulator, initial encounter
T84.390D Other mechanical complication of electronic bone stimulator, subsequent encounter
T84.390S Other mechanical complication of electronic bone stimulator, sequela
T84.398A Other mechanical complication of other bone devices, implants and grafts, initial encounter
T84.398D Other mechanical complication of other bone devices, implants and grafts, subsequent encounter
T84.398S Other mechanical complication of other bone devices, implants and grafts, sequela
T84.410A Breakdown (mechanical) of muscle and tendon graft, initial encounter
T84.410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter
T84.410S Breakdown (mechanical) of muscle and tendon graft, sequela
508
T84.418A Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, initial encounter
T84.418D Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.418S Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, sequela
T84.420A Displacement of muscle and tendon graft, initial encounter
T84.420D Displacement of muscle and tendon graft, subsequent encounter
T84.420S Displacement of muscle and tendon graft, sequela
T84.428A Displacement of other internal orthopedic devices, implants and grafts, initial encounter
T84.428D Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.428S Displacement of other internal orthopedic devices, implants and grafts, sequela
T84.490A Other mechanical complication of muscle and tendon graft, initial encounter
T84.490D Other mechanical complication of muscle and tendon graft, subsequent encounter
T84.490S Other mechanical complication of muscle and tendon graft, sequela
T84.498A Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter
T84.498D Other mechanical complication of other internal orthopedic devices, implants and grafts, subsequent encounter
T84.498S Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela
T85.01xA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01xD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01xS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02xA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02xD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02xS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03xA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03xD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03xS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09xA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09xD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09xS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator of brain, electrode (lead), sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
509
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T85.112A Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T85.118A Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118D Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
T85.118S Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.120A Displacement of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.120D Displacement of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.120S Displacement of implanted electronic neurostimulator of brain, electrode (lead), sequela
T85.121A Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T85.121D Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T85.121S Displacement of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T85.122A Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T85.122D Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
T85.122S Displacement of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator of brain, electrode (lead), sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
510
T85.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
T86.899 Unspecified complication of other transplanted tissue
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z01.818 Encounter for other preprocedural examination
Z48.23 Encounter for aftercare following liver transplant
Z52.4 Kidney donor
Z52.6 Liver donor
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.01 Personal history of malignant neoplasm of esophagus
Z85.020 Personal history of malignant carcinoid tumor of stomach
Z85.028 Personal history of other malignant neoplasm of stomach
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Z85.038 Personal history of other malignant neoplasm of large intestine
Z85.040 Personal history of malignant carcinoid tumor of rectum
Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
Z85.05 Personal history of malignant neoplasm of liver
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Z85.068 Personal history of other malignant neoplasm of small intestine
Z85.07 Personal history of malignant neoplasm of pancreas
Z85.09 Personal history of malignant neoplasm of other digestive organs
Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Z85.12 Personal history of malignant neoplasm of trachea
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
511
Z85.21 Personal history of malignant neoplasm of larynx
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Z85.230 Personal history of malignant carcinoid tumor of thymus
Z85.238 Personal history of other malignant neoplasm of thymus
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis
Z85.49 Personal history of malignant neoplasm of other male genital organs
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.520 Personal history of malignant carcinoid tumor of kidney
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.54 Personal history of malignant neoplasm of ureter
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
Z85.6 Personal history of leukemia
Z85.71 Personal history of Hodgkin lymphoma
Z85.72 Personal history of non-Hodgkin lymphomas
Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z85.810 Personal history of malignant neoplasm of tongue
Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Z85.820 Personal history of malignant melanoma of skin
Z85.821 Personal history of Merkel cell carcinoma
Z85.828 Personal history of other malignant neoplasm of skin
Z85.830 Personal history of malignant neoplasm of bone
Z85.831 Personal history of malignant neoplasm of soft tissue
Z85.840 Personal history of malignant neoplasm of eye
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
512
Z85.9 Personal history of malignant neoplasm, unspecified
Z87.442 Personal history of urinary calculi
Z94.4 Liver transplant status
Z98.890 Other specified postprocedural states
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO and Indemnity: CPT Codes CPT codes:
Code Description
74261 CT colonography diagnostic, including image post-processing, without contrast
74262 CT colonography diagnostic, including image post-processing, with contrast including non-contrast images, if performed
74263 CT colonography screening, including image post-processing
The above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity:
CPT Codes
CPT codes:
Code Description
74712 MRI fetal, including placental and maternal pelvic imaging when performed, single or first gestation
74713 MRI fetal, including placental and maternal pelvic imaging when performed, each additional gestation (List separately in addition to code for primary procedure)
Policy History Date Action
3/2019 Reformatted, redesigned and reorganized to a condition-based structure. Policy statements and covered indications remain unchanged. Effective 3/1/2019. Advanced Imaging Appropriate Use Criteria: Non-oncologic Imaging of the Abdomen and Pelvis. Effective 1/1/2019.
7/2016 Original policy. New medical policy describing medically necessary indications. Effective 7/1/2016.
Information Pertaining to All Blue Cross Blue Shield Medical Policies Click on any of the following terms to access the relevant information: Medical Policy Terms of Use Managed Care Guidelines Indemnity/PPO Guidelines Clinical Exception Process Medical Technology Assessment Guidelines
References Available upon request
Endnotes
1 Based on AIM Specialty Health Clinical Appropriateness Guidelines, Advanced Imaging Appropriate Use Criteria: Non-oncologic Imaging of the Abdomen and Pelvis.